Basic Information
| Provider Information | |||||||||
| NPI: | 1548702038 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GOAD | ||||||||
| FirstName: | ARLEEN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 77 MILL ST | ||||||||
| Address2: | |||||||||
| City: | WESTFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010854598 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4135686141 | ||||||||
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| Practice Location | |||||||||
| Address1: | 77 MILL ST | ||||||||
| Address2: | |||||||||
| City: | WESTFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010854598 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4135686141 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/15/2016 | ||||||||
| LastUpdateDate: | 11/15/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.