KENNETH JAY GOODMAN

NORTHRIDGE, CA
NPI1598735037
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  LCS15866)
Enumeration Date2006-01-26
Last Update Date2007-07-08
Business Address
MR. KENNETH JAY GOODMAN L.C.S.W.
18546 ROSCOE BLVD SUITE 210
NORTHRIDGE, CA 91324-4663
Phone number: 818-542-7925
Mailing Address
MR. KENNETH JAY GOODMAN L.C.S.W.
18546 ROSCOE BLVD. SUITE 210
NORTHRIDGE, CA 91324
Phone number: 818-542-7925
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