Individual
JACLYN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
72 E DEDHAM ST # 74, BOSTON, MA 02118-2315
(617) 292-9200
Mailing address
72 E DEDHAM ST # 74, BOSTON, MA 02118-2315
(617) 292-9200
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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