Individual
RAQUEL GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
1801 FAYETTEVILLE ST APT 20001C, DURHAM, NC 27707-3129
(336) 772-2054
Mailing address
1801 FAYETTEVILLE ST APT 20001C, DURHAM, NC 27707-3129
(336) 772-2054
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A14914
NC
Other
Enumeration date
07/06/2019
Last updated
07/06/2019
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