Individual
HEATHER R GOUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
601 S EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-8333
Mailing address
601 S EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-8333
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2002614-TRNE
OH
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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