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Individual

MR. ALEX GOULBOURNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13325 220TH ST, SPRINGFIELD GARDENS, NY 11413-1636
(718) 859-9760
(718) 859-9767
Mailing address
2233 NOSTRAND AVE STE 2, BROOKLYN, NY 11210-3029
(718) 859-9760
(718) 859-9767

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/19/2009
Last updated
02/19/2009
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