Individual
JAMIE M GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
202 CHERRY ST, MILFORD, CT 06460-3502
(203) 876-0814
Mailing address
25 BRIERWOOD DR, WOODBRIDGE, CT 06525-1807
(203) 815-9800
(203) 298-0334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006081
CT
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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