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1821596909
ROBERT LELAND GOODMAN
MILWAUKEE, WI
NPI
1821596909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18222-130)
Enumeration Date
2018-01-24
Last Update Date
2018-06-16
Business Address
ROBERT LELAND GOODMAN
1134 W. NORTH AVE, SECOND FLOOR
MILWAUKEE, WI 53205
Phone number: 414-467-8884
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Mailing Address
ROBERT LELAND GOODMAN
1134 W. NORTH AVE, SECOND FLOOR
MILWAUKEE, WI 53205
Phone number: 414-467-8884
Copy
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