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Individual

ALECIA M GOODRICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
230 W 200 S # 142, SALT LAKE CITY, UT 84101-1337
(801) 433-2595
Mailing address
230 W 200 S # 142, SALT LAKE CITY, UT 84101-1337
(801) 433-2595

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
11/20/2020
Last updated
11/20/2020
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