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1295438984
DESTINY ROSE GOODSON
GRUNDY, VA
NPI
1295438984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0709025109)
Enumeration Date
2023-03-23
Last Update Date
2024-03-22
Business Address
DESTINY ROSE GOODSON CSAC Supervisee
1520 SLATE CREEK RD STE 201
GRUNDY, VA 24614-6975
Phone number: 276-242-2001
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Mailing Address
DESTINY ROSE GOODSON CSAC Supervisee
1520 SLATE CREEK RD STE 201
GRUNDY, VA 24614-6975
Phone number: 276-242-2001
Copy
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