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1457877656
GABRIEL MCKENNA GOODMAN
GREELEY, CO
NPI
1457877656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO CSW.09926414)
Enumeration Date
2017-08-18
Last Update Date
2019-12-12
Business Address
GABRIEL MCKENNA GOODMAN LCSW
1300 N 17TH AVE
GREELEY, CO 80631-9584
Phone number: 970-347-2120
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Mailing Address
GABRIEL MCKENNA GOODMAN LCSW
1300 N 17TH AVE
GREELEY, CO 80631-9584
Phone number: 970-347-2120
Copy
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