Tyera Nicole Godfrey
NPI #1871083246 in Malden, Massachusetts
Provider Information
- NPI Number
- 1871083246
- Entity Type
- Individual
- Name
- Tyera Nicole Godfrey
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- May 11, 2018
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 12 PERKINS AVE
- City
- Malden
- State
- Massachusetts
- ZIP Code
- 02148-7502
- Phone
- (781) 630-3254
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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