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1528339025
GRADY GODDARD
BURBANK, CA
NPI
1528339025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 24548)
Enumeration Date
2012-01-16
Last Update Date
2012-01-16
Business Address
Ms. GRADY GODDARD MFT
3808 W RIVERSIDE DR SUITE 503
BURBANK, CA 91505-4325
Phone number: 310-717-4073
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Mailing Address
Ms. GRADY GODDARD MFT
3808 W RIVERSIDE DR SUITE 503
BURBANK, CA 91505-4325
Phone number: 310-717-4073
Copy
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