MATTHEW GERALD GOODMAN

SAINT LOUIS, MO
NPI1841540994
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  178.008168)
Enumeration Date2012-09-17
Last Update Date2012-09-17
Business Address
-- MATTHEW GERALD GOODMAN
6651 CHIPPEWA ST STE 224
SAINT LOUIS, MO 63109-2531
Phone number: 314-645-6840
Mailing Address
-- MATTHEW GERALD GOODMAN
500 ANNA ST LOT 31
SWANSEA, IL 62226-3902
Phone number: 618-550-0819
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