Individual
MISS THERESA RENEE GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 STONEWALL DR, WEST CHESTER, OH 45069-3503
(513) 426-3803
Mailing address
45 STONEWALL DR, WEST CHESTER, OH 45069-3503
(513) 426-3803
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
08/16/2024
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