Individual
ELIZABETH GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12303 E 104TH PL UNIT 105, COMMERCE CITY, CO 80022-2098
(720) 617-1574
Mailing address
12303 E 104TH PL UNIT 105, COMMERCE CITY, CO 80022-2098
(720) 671-1574
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-331246
CO
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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