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Individual
MRS. MARY BETH GOODMAN
Active
Individual
MRS. MARY BETH GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701004547
VA
101YM0800X
Mental Health Counselor
2013014282
MO
101YM0800X
Mental Health Counselor
3973
CO
101YM0800X
Mental Health Counselor
Primary
—
FL
Other
Enumeration date
11/07/2013
Last updated
09/29/2016
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