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Individual

KRISTEN FOWLES GODDARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
897 WEST MAIN STREET, DOVER-FOXCROFT, ME 04426
(207) 564-4110
(207) 564-4478
Mailing address
69 HIGH ST, DOVER FOXCROFT, ME 04426-1270
(207) 564-4110
(207) 564-4478

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
CAC3851
ME

Other

Enumeration date
05/24/2010
Last updated
05/24/2010
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