Individual
JILL DIANE GOEDDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
799 S MAIN ST, LIMA, OH 45804-1519
(419) 229-2222
Mailing address
5982 RHODES RD, KENT, OH 44240-8100
(330) 673-1347
(330) 673-3677
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2103331-TRNE
OH
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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