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Individual

DR. JANICE HANSEN GOODMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, APRN, BC

Contact information

Practice address
599 NORTH AVENUE, WAKEFIELD, MA 01801
(781) 775-4963
Mailing address
69 MYSTIC VALLEY PKWY, WINCHESTER, MA 01890-2936
(781) 775-4963

Taxonomy

Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
163553
MA

Other

Enumeration date
12/11/2006
Last updated
07/08/2007
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