KELLAN GOODMAN

MOSES LAKE, WA
NPI1861903197
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2017-10-13
Last Update Date2017-10-13
Business Address
KELLAN GOODMAN
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number: 509-765-9239
Mailing Address
KELLAN GOODMAN
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number: 509-765-9239
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