Individual
MR. PETER JASON GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-4028
Mailing address
204 EASTGATE AVENUE N, PACIFIC, WA 98047
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
WA
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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