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Organization
KIMBERLY D. GOODRICH, LCSW L.L.C.
Active
Organization
KIMBERLY D. GOODRICH, LCSW L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY D. GOODRICH LCSW, LCADC (OWNER)
(908) 334-0261
Entity
Organization
Contact information
Practice address
134 W END AVE, 2ND FLOOR, SOMERVILLE, NJ 08876-1816
(908) 334-0261
Mailing address
57 WHITEHEAD RD, BRIDGEWATER, NJ 08807-3592
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00144300
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05340000
NJ
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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