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1396875498
VIRGINA GODTHAAB
LOUISVILLE, KY
NPI
1396875498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: KY 2006-95temp)
Enumeration Date
2007-03-07
Last Update Date
2012-11-20
Business Address
-- VIRGINA GODTHAAB
914 E BROADWAY 3RD FLOOR
LOUISVILLE, KY 40204-1037
Phone number: 502-589-8600
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Mailing Address
-- VIRGINA GODTHAAB
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number: 502-589-8600
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