Individual
REBECCA JOY GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
618 LIBRARY PL, EVANSTON, IL 60201-2908
(312) 609-5300
Mailing address
618 LIBRARY PL, EVANSTON, IL 60201-2908
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
440
AL
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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