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1295212504
NADINE MARIE GODDARD
SAN DIEGO, CA
NPI
1295212504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-07-20
Last Update Date
2018-07-20
Business Address
NADINE MARIE GODDARD
4141 PACIFIC HWY
SAN DIEGO, CA 92110-2030
Phone number: 209-861-9393
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Mailing Address
NADINE MARIE GODDARD
5343 BARSTOW ST
SAN DIEGO, CA 92117-2204
Phone number: 619-209-1915
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