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1861616088
LAURENCE MICHAEL GOODMAN
SANTA ROSA, CA
NPI
1861616088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 38345)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
MR. LAURENCE MICHAEL GOODMAN MFT
3551 HEIMBUCHER WAY
SANTA ROSA, CA 95404-2028
Phone number: 707-583-2313
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Mailing Address
MR. LAURENCE MICHAEL GOODMAN MFT
3551 HEIMBUCHER WAY
SANTA ROSA, CA 95404-2028
Phone number: 707-583-2313
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