MR. Stephen Robert Goodman, LCSW

NPI #1497159925 in La Puente, California

Provider Information

NPI Number: 1497159925
Entity Type: Individual
Name: MR. Stephen Robert Goodman, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 13, 2014
Last Updated: Oct 13, 2014

Practice Location

Address: 101 PONDEROSA ST
City: La Puente
State: California
ZIP Code: 91744-6218
Phone: (626) 318-7376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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