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1194837690
NICHOLE ANN GODDARD
PORT HURON, MI
NPI
1194837690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 740100)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Ms. NICHOLE ANN GODDARD L.L.M.S.W.
1406 8TH ST
PORT HURON, MI 48060-5804
Phone number: 810-987-1258
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Mailing Address
Ms. NICHOLE ANN GODDARD L.L.M.S.W.
3106 CONGER ST
PORT HURON, MI 48060-2275
Phone number: 810-987-1258
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