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1942035142
MICHELLE GODDARD
BERKELEY, CA
NPI
1942035142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-09-06
Last Update Date
2024-09-06
Business Address
MICHELLE GODDARD RADT-I
2323 HEARST AVE
BERKELEY, CA 94709-1319
Phone number: 510-548-7270
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Mailing Address
MICHELLE GODDARD RADT-I
540 39TH ST APT 533
OAKLAND, CA 94609-3071
Phone number: 415-324-0408
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