Individual
DASHA'NAE NEKOLE GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 CAMPBELL AVE SW, ROANOKE, VA 24016-3625
(540) 795-4695
(540) 563-5254
Mailing address
360 CAMPBELL AVE SW, ROANOKE, VA 24016-3625
(540) 795-4695
(540) 563-5254
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0735000746
VA
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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