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1871862201
JENNIFER REBECAA GOODMAN
RIVERSIDE, CA
NPI
1871862201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 67359)
Enumeration Date
2011-12-13
Last Update Date
2011-12-13
Business Address
-- JENNIFER REBECAA GOODMAN MFT Intern
3681 SUNNYSIDE DR # 20973
RIVERSIDE, CA 92506-2415
Phone number: 951-215-6398
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Mailing Address
-- JENNIFER REBECAA GOODMAN MFT Intern
PO BOX 20973
RIVERSIDE, CA 92516-0973
Phone number: 951-215-6398
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