Individual
JOAQUIM L. GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4036 CAMBRIDGE DR, COUNTRY CLUB HILLS, IL 60478-7001
(708) 799-6064
Mailing address
4036 CAMBRIDGE DR, COUNTRY CLUB HILLS, IL 60478-7001
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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