CASEY GODERUM

SANTA ROSA, CA
NPI1679277099
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2023-03-29
Last Update Date2025-07-16
Business Address
CASEY GODERUM
634 PRESSLEY ST
SANTA ROSA, CA 95404-5526
Phone number: 707-573-6955
Mailing Address
CASEY GODERUM
420 E COTATI AVE
COTATI, CA 94931-4442
Phone number: 707-795-4336
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