ROBERT LELAND GOODMAN

MILWAUKEE, WI
NPI1821596909
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  18222-130)
Enumeration Date2018-01-24
Last Update Date2018-06-16
Business Address
ROBERT LELAND GOODMAN
1134 W. NORTH AVE, SECOND FLOOR
MILWAUKEE, WI 53205
Phone number: 414-467-8884
Mailing Address
ROBERT LELAND GOODMAN
1134 W. NORTH AVE, SECOND FLOOR
MILWAUKEE, WI 53205
Phone number: 414-467-8884
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