Jamie Goodman, Msw, Llc | |
23 Sherman Street The Psychotherapy Center Fairfield CT 06824 | |
(203) 815-9800 | |
Not Available |
Full Name | Jamie Goodman, Msw, Llc |
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Speciality | Social Worker - Clinical |
Location | 23 Sherman Street, Fairfield, Connecticut |
Authorized Official Name and Position | Jamie Goodman (MEMBER) |
Authorized Official Contact | 2038159800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jamie Goodman, Msw, Llc 25 Brierwood Dr Woodbridge CT 06525-1807 Ph: (203) 815-9800 | Jamie Goodman, Msw, Llc 23 Sherman Street The Psychotherapy Center Fairfield CT 06824 Ph: (203) 815-9800 |
NPI Number | 1730403452 |
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Provider Enumeration Date | 03/24/2010 |
Last Update Date | 03/24/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730403452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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