Individual
KACI GODBEHERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
1303 W MAPLE ST STE 105, NORTH CANTON, OH 44720-2858
(330) 310-8250
Mailing address
719 TAYLOR ST SW, MASSILLON, OH 44647-7726
(330) 809-6106
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
06/29/2019
Last updated
06/29/2019
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