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Individual

JOAN GODDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CAC, LADCI

Contact information

Practice address
497 BELLEVILLE AVE, NEW BEDFORD, MA 02746-2420
(508) 991-7487
Mailing address
497 BELLEVILLE AVE, NEW BEDFORD, MA 02746-2420
(508) 991-7487

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1720
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1894234
MA
Enumeration date
12/04/2007
Last updated
12/04/2007
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