Individual
AMANDA GODDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
240 S MAIN ST, WOLFEBORO, NH 03894-4455
(603) 515-2066
Mailing address
240 S MAIN ST, WOLFEBORO, NH 03894-4455
(603) 515-2026
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2703
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3078870
—
NH
Enumeration date
07/26/2019
Last updated
03/18/2025
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