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1679277099
CASEY GODERUM
SANTA ROSA, CA
NPI
1679277099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-03-29
Last Update Date
2024-10-01
Business Address
CASEY GODERUM
634 PRESSLEY ST
SANTA ROSA, CA 95404-5526
Phone number: 707-573-6955
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Mailing Address
CASEY GODERUM
634 PRESSLEY ST
SANTA ROSA, CA 95404-5526
Phone number: 707-573-6955
Copy
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