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1508095316
CARL LEWIS GOODWIN
MESA, AZ
NPI
1508095316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2009-07-14
Last Update Date
2009-07-14
Business Address
MR. CARL LEWIS GOODWIN
10626 E ENID AVE
MESA, AZ 85208-7276
Phone number: 602-384-5443
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Mailing Address
MR. CARL LEWIS GOODWIN
10626 E ENID AVE
MESA, AZ 85208-7276
Phone number: 602-384-5443
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