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1750412219
PRESTON D GOFORTH
CHATTANOOGA, TN
NPI
1750412219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
-- PRESTON D GOFORTH M.S.
413 SPRING ST
CHATTANOOGA, TN 37405-3848
Phone number: 423-756-2740
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Mailing Address
-- PRESTON D GOFORTH M.S.
128 SHIRE LN NW
CLEVELAND, TN 37312-6269
Phone number:
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