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1699453506
MIKAYLA GOODMAN
GREELEY, CO
NPI
1699453506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
MIKAYLA GOODMAN
1601 25TH AVE
GREELEY, CO 80634-4907
Phone number: 970-378-8805
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Mailing Address
MIKAYLA GOODMAN
1437 DENVER AVE
LOVELAND, CO 80538-5226
Phone number: 970-378-8805
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