MISS Emmalynn Rose Goddard, SC.61541753

NPI #1104544774 in Provo, Utah

Provider Information

NPI Number
1104544774
Entity Type
Individual
Name
MISS Emmalynn Rose Goddard, SC.61541753
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
SC.61541753
Enumeration Date
Aug 18, 2022
Last Updated
May 28, 2024

Practice Location

Address
750 N FREEDOM BLVD
City
Provo
State
Utah
ZIP Code
84601-1677
Phone
(801) 373-4760

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator
Social Worker - ClinicalClinical

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