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Individual

MRS. JOLENE GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
300 REPUBLIC AVE, JOLIET, IL 60435-6520
(815) 725-1440
(815) 725-1550
Mailing address
1733 S LA LONDE AVE, LOMBARD, IL 60148-3500
(815) 725-1440
(815) 725-1550

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
IL

Other

Enumeration date
09/11/2007
Last updated
04/03/2008
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