Individual
MS. BONNIE L GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
35 E 35TH ST, 1M, NEW YORK, NY 10016-3823
(212) 779-3959
(206) 984-0011
Mailing address
35 E 35TH ST, 1M, NEW YORK, NY 10016-3823
(212) 779-3959
(206) 984-0011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC04824300
NJ
1041C0700X
Clinical Social Worker
Primary
PR020931
NY
Other
Enumeration date
12/04/2006
Last updated
12/21/2007
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