Revital Goodman, LCSW

NPI #1629470620 in Boca Raton, Florida

Provider Information

NPI Number: 1629470620
Entity Type: Individual
Name: Revital Goodman, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: LCSW
Enumeration Date: Sep 22, 2014
Last Updated: Sep 22, 2014

Practice Location

Address: 9858 GLADES RD # D3-218
City: Boca Raton
State: Florida
ZIP Code: 33434-3983
Phone: (323) 770-4777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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