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1558569020
MARK DANIEL GOODWIN
BRONX, NY
NPI
1558569020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 075270)
Enumeration Date
2007-07-06
Last Update Date
2015-07-10
Business Address
Mr. MARK DANIEL GOODWIN LCSW
1650 SELWYN AVE 6D
BRONX, NY 10457-7626
Phone number: 347-443-6521
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Mailing Address
Mr. MARK DANIEL GOODWIN LCSW
40 SPRING ST
POUGHKEEPSIE, NY 12601-1451
Phone number: 917-693-8924
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