Individual
JENNIFER GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHS
Contact information
Practice address
10595 STATE ROUTE 550, VINCENT, OH 45784-5650
(740) 445-5113
(740) 445-5124
Mailing address
PO BOX 188, CHILLICOTHE, OH 45601-0188
(740) 773-4366
(740) 775-7855
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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