Individual
AMY PATRICIA GOFFREDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
18 NEWTON ST, BROCKTON, MA 02301-5115
(508) 583-6498
Mailing address
77 UNION ST, NORTH EASTON, MA 02356-1013
(508) 230-7275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
216117
MA
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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