Individual
ERCELL GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5209 EUCLID AVE, CLEVELAND, OH 44103-3703
(216) 881-0765
Mailing address
20763 ELLACOTT PKWY APT 707, CLEVELAND, OH 44128-4450
(216) 881-0765
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
110993
OH
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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