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Individual

MS. PERRI MARLENE GOODMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MACCC

Contact information

Practice address
37501 JOY RD, WESTLAND, MI 48185-7538
(734) 451-1155
Mailing address
30137 WALNUT CT, FARMINGTON HILLS, MI 48331-2284
(248) 661-6905

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00200493
MI

Other

Enumeration date
01/06/2012
Last updated
01/06/2012
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