Individual
CAITLYN GRACE GOLDSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
551 W MAUCH CHUNK ST, NAZARETH, PA 18064-9209
(815) 674-5915
Mailing address
551 W MAUCH CHUNK ST, NAZARETH, PA 18064-9209
(815) 674-5915
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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