MIRANDA GODDARD

LEAVENWORTH, KS
NPI1053063669
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-01-25
Last Update Date2022-01-25
Business Address
MIRANDA GODDARD
500 LIMIT ST
LEAVENWORTH, KS 66048-4435
Phone number: 913-682-5118
Mailing Address
MIRANDA GODDARD
500 LIMIT ST
LEAVENWORTH, KS 66048-4435
Phone number: