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1518654011
MARK C GOODMAN
LYNN, MA
NPI
1518654011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-04-24
Last Update Date
2023-04-24
Business Address
MARK C GOODMAN
95 PLEASANT STREET
LYNN, MA 01901
Phone number: 781-809-4104
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Mailing Address
MARK C GOODMAN
95 PLEASANT STREET
LYNN, MA 01901
Phone number: 781-809-4104
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