ICEY DAWN GOODRICH

FAIRMONT, WV
NPI1720676059
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-01-03
Last Update Date2021-01-03
Business Address
ICEY DAWN GOODRICH
105 MAPLEWOOD DR
FAIRMONT, WV 26554-2147
Phone number: 304-366-8779
Mailing Address
ICEY DAWN GOODRICH
7 HUNTING HILL DR
MANNINGTON, WV 26582-8142
Phone number: 304-508-2156
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