Individual
ELVIA GODBOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 E NEWTON ST # JC309, BOSTON, MA 02118-4802
(607) 262-2136
Mailing address
45 E NEWTON ST # JC309, BOSTON, MA 02118-4802
(607) 262-2136
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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