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1790111862
GRACE GOODMAN
SAN BERNARDINO, CA
NPI
1790111862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 28905)
Enumeration Date
2013-09-20
Last Update Date
2017-02-03
Business Address
-- GRACE GOODMAN PsyD
250 S G ST
SAN BERNARDINO, CA 92410-3320
Phone number: 909-382-7100
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Mailing Address
-- GRACE GOODMAN PsyD
250 S G ST
SAN BERNARDINO, CA 92410-3320
Phone number: 909-382-7100
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