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1407980279
AMY GOODMAN
PARK RIDGE, IL
NPI
1407980279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
-- AMY GOODMAN
819 BUSSE HWY MAINE CENTER
PARK RIDGE, IL 60068-2360
Phone number: 847-696-1376
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Mailing Address
-- AMY GOODMAN
819 BUSSE HWY MAINE CENTER
PARK RIDGE, IL 60068-2360
Phone number: 847-696-1376
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