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1528091402
JEFFREY SAMUEL GOODMAN
PORTSMOUTH, VA
NPI
1528091402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810001065)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
Dr. JEFFREY SAMUEL GOODMAN PhD
355 CRAWFORD ST SUITE 804
PORTSMOUTH, VA 23704-2816
Phone number: 757-397-4394
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Mailing Address
Dr. JEFFREY SAMUEL GOODMAN PhD
355 CRAWFORD ST SUITE 804
PORTSMOUTH, VA 23704-2816
Phone number: 757-397-4394
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