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1962524165
ELISE SUE GOODMAN
WALTHAM, MA
NPI
1962524165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MA 3171)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
Ms. ELISE SUE GOODMAN M.A. CCC
977 MAIN ST
WALTHAM, MA 02451-7406
Phone number: 781-891-0452
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Mailing Address
Ms. ELISE SUE GOODMAN M.A. CCC
26 JYRA LN
NORTH EASTON, MA 02356-2738
Phone number: 508-238-6870
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