MYRON GOODMAN

PLYMOUTH, MN
NPI1588959233
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302311)
Enumeration Date2011-06-10
Last Update Date2011-06-10
Business Address
-- MYRON GOODMAN MA LADC
1884 BERKSHIRE LN N
PLYMOUTH, MN 55441-3723
Phone number: 763-559-5677
Mailing Address
-- MYRON GOODMAN MA LADC
1884 BERKSHIRE LN N
PLYMOUTH, MN 55441-3723
Phone number: 763-559-5677