Individual
MR. BRIAN GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
100 DOUBLE BEACH RD, BRANFORD, CT 06405-4909
(203) 315-7692
(203) 315-7583
Mailing address
100 DOUBLE BEACH RD, BRANFORD, CT 06405-4909
(203) 315-7692
(203) 315-7583
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003688
CT
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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