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1164722252
KIMBERLY A GOODRICH
EDMOND, OK
NPI
1164722252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-10-24
Last Update Date
2010-10-24
Business Address
Mrs. KIMBERLY A GOODRICH
1209 S GEMINI RD
EDMOND, OK 73003-5801
Phone number: 405-589-9623
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Mailing Address
Mrs. KIMBERLY A GOODRICH
1209 S GEMINI RD
EDMOND, OK 73003-5801
Phone number: 405-589-9623
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