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Individual
WILLIAM P GOOLEY
Active
Individual
WILLIAM P GOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1024170
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62-00270
EVERCARE
MA
01
—
800012720
RAIL ROAD MEDICARE
MA
Enumeration date
07/13/2006
Last updated
01/23/2012
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