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Individual
KAREN GOODMAN
Active
Individual
KAREN GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW1649
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW1649
LICENSE NUMBER
FL
Enumeration date
09/16/2013
Last updated
09/16/2013
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