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1659529444
RICHARD GOODWIN
VALLEJO, CA
NPI
1659529444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-09-04
Last Update Date
2008-09-04
Business Address
Mr. RICHARD GOODWIN
408 TENNESSEE ST
VALLEJO, CA 94590
Phone number: 707-554-2397
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Mailing Address
Mr. RICHARD GOODWIN
408 TENNESSEE ST
VALLEJO, CA 94590
Phone number: 707-554-2397
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