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1588959233
MYRON GOODMAN
PLYMOUTH, MN
NPI
1588959233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 302311)
Enumeration Date
2011-06-10
Last Update Date
2011-06-10
Business Address
-- MYRON GOODMAN MA LADC
1884 BERKSHIRE LN N
PLYMOUTH, MN 55441-3723
Phone number: 763-559-5677
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Mailing Address
-- MYRON GOODMAN MA LADC
1884 BERKSHIRE LN N
PLYMOUTH, MN 55441-3723
Phone number: 763-559-5677
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