MICHAEL B GOODMAN

RESTON, VA
NPI1770787129
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: VA  0904001243)
Enumeration Date2007-06-11
Last Update Date2007-07-08
Business Address
MICHAEL B GOODMAN LCSW
11250 ROGER BACON DR SUITE 12
RESTON, VA 20190-5219
Phone number: 703-517-0107
Mailing Address
MICHAEL B GOODMAN LCSW
20769 RIVERBIRCH PL
POTOMAC FALLS, VA 20165-7396
Phone number: 703-517-0107
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