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1609411024
CARL ROBERT GOODHOLM
JACKSONVILLE, FL
NPI
1609411024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW9760)
Enumeration Date
2019-11-08
Last Update Date
2020-10-12
Business Address
Mr. CARL ROBERT GOODHOLM LCSW
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
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Mailing Address
Mr. CARL ROBERT GOODHOLM LCSW
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
Copy
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