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1952932014
TIFFANY GOODELL
MASSAPEQUA, NY
NPI
1952932014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 007955)
Enumeration Date
2020-01-28
Last Update Date
2020-01-28
Business Address
TIFFANY GOODELL LMHC
177 BALTIMORE AVE
MASSAPEQUA, NY 11758-4229
Phone number: 973-979-9882
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Mailing Address
TIFFANY GOODELL LMHC
177 BALTIMORE AVE
MASSAPEQUA, NY 11758-4229
Phone number: 973-979-9882
Copy
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