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1831327006
KEVON JABARR GOODRUM
HAMDEN, CT
NPI
1831327006
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Other Name
K. JABARR GOODRUM
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: GA MFT001607)
Enumeration Date
2009-06-26
Last Update Date
2024-04-27
Business Address
Mr. KEVON JABARR GOODRUM
46 RIDGE RD
HAMDEN, CT 06517-3506
Phone number: 203-752-8827
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Mailing Address
Mr. KEVON JABARR GOODRUM
1812 HIDDEN SPRINGS WALK SE
SMYRNA, GA 30082-4254
Phone number: 678-444-4505
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