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1689661548
LISA ELLEN GOODMAN
BRADFORD, PA
NPI
1689661548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: PA PC000862)
Enumeration Date
2005-10-05
Last Update Date
2017-06-30
Business Address
Ms. LISA ELLEN GOODMAN LPC
125 MAIN ST #601
BRADFORD, PA 16701-2025
Phone number: 814-368-8644
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Mailing Address
Ms. LISA ELLEN GOODMAN LPC
125 MAIN ST #502
BRADFORD, PA 16701-2025
Phone number: 814-368-8644
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