LARRY JAMES GOODALE

RICHMOND, MI
NPI1932251857
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-01-18
Last Update Date2007-07-08
Business Address
Mr. LARRY JAMES GOODALE FAODP
400 STODDARD RD
RICHMOND, MI 48062-2505
Phone number: 810-392-2167
Mailing Address
Mr. LARRY JAMES GOODALE FAODP
6823 MONROE ST
NORTH BRANCH, MI 48461-9348
Phone number: 810-688-3272
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