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1497159925
STEPHEN ROBERT GOODMAN
LA PUENTE, CA
NPI
1497159925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW63283)
Enumeration Date
2014-10-13
Last Update Date
2014-10-13
Business Address
Mr. STEPHEN ROBERT GOODMAN LCSW
101 PONDEROSA ST
LA PUENTE, CA 91744-6218
Phone number: 626-318-7376
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Mailing Address
Mr. STEPHEN ROBERT GOODMAN LCSW
101 PONDEROSA ST
LA PUENTE, CA 91744-6218
Phone number: 626-318-7376
Copy
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