KRISTY DIANE GOODSON

AMMON, ID
NPI1194156216
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-38393)
Enumeration Date2013-11-30
Last Update Date2023-08-02
Business Address
KRISTY DIANE GOODSON
1675 CURLEW DR
AMMON, ID 83406-4718
Phone number: 208-523-5319
Mailing Address
KRISTY DIANE GOODSON
PO BOX 2106
IDAHO FALLS, ID 83403-2106
Phone number: 208-523-5319
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