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1437802238
AMANDA FRIEDLEY GOODMAN
CERES, CA
NPI
1437802238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1456890122)
Enumeration Date
2022-02-01
Last Update Date
2023-09-20
Business Address
AMANDA FRIEDLEY GOODMAN
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-525-7411
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Mailing Address
AMANDA FRIEDLEY GOODMAN
201 E COOLIDGE AVE APT C7
MODESTO, CA 95350-4581
Phone number: 209-409-9984
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