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1417212390
JACQUELINE GODWIN
MEDIA, PA
NPI
1417212390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: PA 1-10-7630)
Enumeration Date
2012-07-07
Last Update Date
2021-08-12
Business Address
JACQUELINE GODWIN M.S., BCBA
77 W BALTIMORE PIKE STE 100B
MEDIA, PA 19063-5639
Phone number: 610-572-5520
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Mailing Address
JACQUELINE GODWIN M.S., BCBA
77 W BALTIMORE PIKE STE 100B
MEDIA, PA 19063-5639
Phone number: 610-572-5520
Copy
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