Individual
MRS. CLAIRE LEIGH GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC, SLP
Contact information
Practice address
10193 BEAR VALLEY RD, JACKSONVILLE, FL 32257-5961
(904) 260-1479
(904) 260-1479
Mailing address
10193 BEAR VALLEY RD, JACKSONVILLE, FL 32257-5961
(904) 260-1479
(904) 260-1479
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA5321
FL
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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