Individual
ROBERT LELAND GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1134 W. NORTH AVE, SECOND FLOOR, MILWAUKEE, WI 53205
(414) 467-8884
Mailing address
1134 W. NORTH AVE, SECOND FLOOR, MILWAUKEE, WI 53205
(414) 467-8884
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18222-130
WI
Other
Enumeration date
01/24/2018
Last updated
06/16/2018
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