Suzanne Godfrey

NPI #1982937736 in Idaho Falls, Idaho

Provider Information

NPI Number: 1982937736
Entity Type: Organization
Organization Name: Suzanne Godfrey
Subpart: Yes (part of a larger organization)
Parent Organization: CLUB, INC.
Primary Specialty: Counselor
Enumeration Date: Sep 11, 2009
Last Updated: Sep 11, 2009

Practice Location

Address: 2001 S WOODRUFF AVE STE 6
City: Idaho Falls
State: Idaho
ZIP Code: 83404-6371
Phone: (208) 529-4673

Authorized Official

Name: MARDEE HARPER
Title: EXECUTIVE DIRECTOR
Phone: (208) 529-4673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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