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1497004808
ELIZABETH JANUARY GOODMAN
NEW YORK, NY
NPI
1497004808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 076462-1)
Enumeration Date
2012-08-30
Last Update Date
2012-08-30
Business Address
-- ELIZABETH JANUARY GOODMAN LCSW
61 W 62ND ST APT 4F
NEW YORK, NY 10023-7016
Phone number: 212-586-3773
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Mailing Address
-- ELIZABETH JANUARY GOODMAN LCSW
102 S ELLIOTT PL
BROOKLYN, NY 11217-1509
Phone number: 917-747-5871
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