Individual
LORETTA L GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2434 WILLOW AVE, NIAGARA FALLS, NY 14305-3108
(716) 297-0798
(716) 297-0998
Mailing address
2434 WILLOW AVE, NIAGARA FALLS, NY 14305-3108
(716) 297-0798
(716) 297-0998
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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