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1710554159
KIM WENDEE GOODMAN
HUNTINGTON BEACH, CA
NPI
1710554159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 25275)
Enumeration Date
2021-06-04
Last Update Date
2021-06-04
Business Address
KIM WENDEE GOODMAN
17111 BEACH BLVD STE 205
HUNTINGTON BEACH, CA 92647-5947
Phone number: 714-654-1570
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Mailing Address
KIM WENDEE GOODMAN
17111 BEACH BLVD STE 205
HUNTINGTON BEACH, CA 92647-5947
Phone number: 714-654-1570
Copy
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