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Individual

MRS. LAURIE GODDARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.E., ED.S

Contact information

Practice address
4703 NW 53RD AVE, SUITE A-2, GAINESVILLE, FL 32653-3415
(352) 332-6131
Mailing address
1615 NW 34TH PL, GAINESVILLE, FL 32605-2543
(352) 448-1898

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3508
FL

Other

Enumeration date
05/26/2016
Last updated
06/12/2020
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