Individual
MS. STEPHANIE JANINE GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
8967 YELLOW BRICK RD, ROSEDALE, MD 21237
(410) 780-5203
(410) 780-5203
Mailing address
8967 YELLOW BRICK RD, ROSEDALE, MD 21237-2303
(410) 780-5203
(410) 780-5203
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
G06694
MD
Other
Enumeration date
01/13/2009
Last updated
02/12/2019
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