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Individual

CASSANDRA GODBOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
504 REXTON CT, COLUMBIA, SC 29229-6907
(803) 528-5327
Mailing address
504 REXTON CT, COLUMBIA, SC 29229-6907
(803) 528-5327

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
SC
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
SC
374U00000X
Home Health Aide
Primary
SC
376K00000X
Nurse's Aide
SC

Other

Enumeration date
10/06/2021
Last updated
10/06/2021
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