CARLY GOODMAN BAX

PHILADELPHIA, PA
NPI1821662339
Former NameCARLY MORGAN GOODMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-05-19
Last Update Date2021-05-19
Business Address
CARLY GOODMAN BAX
1010 N HANCOCK ST
PHILADELPHIA, PA 19123-2334
Phone number: 267-978-4305
Mailing Address
CARLY GOODMAN BAX
1337 MARLBOROUGH ST
PHILADELPHIA, PA 19125-3214
Phone number: 862-432-2659