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1003354663
SUSAN GODDARD
FERNLEY, NV
NPI
1003354663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-02-03
Last Update Date
2017-02-03
Business Address
-- SUSAN GODDARD
415 US HIGHWAY 95A S SUITE 702G
FERNLEY, NV 89408-9261
Phone number: 775-575-2284
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Mailing Address
-- SUSAN GODDARD
308 EDGEBROOK DR
SPRING CREEK, NV 89815-5709
Phone number: 775-401-1439
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