Individual
SADIE R GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
472 BALLAINE RD, FAIRBANKS, AK 99709-6550
(907) 712-7414
Mailing address
472 BALLAINE RD, FAIRBANKS, AK 99709-6550
(907) 712-7414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
203953
AK
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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