Individual
MS. ALINE REBECCA GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3350 MAIN ST, BUFFALO, NY 14214-1316
(716) 835-4011
(716) 835-0253
Mailing address
142 SARANAC AVE APT 6, BUFFALO, NY 14216-2448
(347) 693-4161
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
072943
NY
Other
Enumeration date
12/20/2007
Last updated
12/11/2023
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