TIM GODING

WESTBROOK, ME
NPI1205124336
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  LC4864)
Enumeration Date2011-07-11
Last Update Date2011-07-11
Business Address
-- TIM GODING LC4864
1 DELTA DR
WESTBROOK, ME 04092-4745
Phone number: 207-856-7227
Mailing Address
-- TIM GODING LC4864
1 DELTA DR
WESTBROOK, ME 04092-4745
Phone number: 207-856-7227
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