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1780154104
JEFFREY N GOODMAN
MOUNT VERNON, OH
NPI
1780154104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.168596)
Enumeration Date
2018-11-28
Last Update Date
2018-11-28
Business Address
JEFFREY N GOODMAN
213 E CHESTNUT ST
MOUNT VERNON, OH 43050-3404
Phone number: 740-326-9255
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Mailing Address
JEFFREY N GOODMAN
213 E CHESTNUT ST
MOUNT VERNON, OH 43050-3404
Phone number: 740-326-9255
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