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1588118004
STACY GOODMAN
ORLAND PARK, IL
NPI
1588118004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149009533)
Enumeration Date
2016-08-12
Last Update Date
2016-08-12
Business Address
-- STACY GOODMAN MSW
7021 W 153RD ST STE 5
ORLAND PARK, IL 60462-5184
Phone number: 708-275-0934
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Mailing Address
-- STACY GOODMAN MSW
7021 W 153RD ST STE 5
ORLAND PARK, IL 60462-5184
Phone number: 847-322-4436
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