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1821662339
CARLY GOODMAN BAX
PHILADELPHIA, PA
NPI
1821662339
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Former Name
CARLY MORGAN GOODMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-05-19
Last Update Date
2021-05-19
Business Address
CARLY GOODMAN BAX
1010 N HANCOCK ST
PHILADELPHIA, PA 19123-2334
Phone number: 267-978-4305
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Mailing Address
CARLY GOODMAN BAX
1337 MARLBOROUGH ST
PHILADELPHIA, PA 19125-3214
Phone number: 862-432-2659
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