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Michael K Goddard
Day Training/Habilitation Specialist in Lewisburg, West Virginia
NPI 1407472590

Michael K Goddard is a Day Training/Habilitation Specialist based in Rainelle, WV. Michael K Goddard practices in Lewisburg, WV. The NPI Number for Michael K Goddard is 1407472590 and holds a License No. (West Virginia).

The current practice location address for Michael K Goddard is 348 Northridge Dr Apt 104, Lewisburg, WV and can be reached out via phone at 304-520-4379. You can also correspond with Michael K Goddard through the mailing address at 261 11TH ST, RAINELLE, WV - 25962-1255 (mailing address contact number: ).

Location: 348 Northridge Dr Apt 104, Lewisburg, WV, 25962-1255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407472590
Provider Name
Michael K Goddard
Credential
Provider Entity Type
Individual
Gender
Male
Address
348 Northridge Dr Apt 104, Lewisburg, WV, 25962-1255
Phone Number
304-520-4379
Fax Number
Provider Enumeration Date
06/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
348 Northridge Dr Apt 104
City
Lewisburg
State
West Virginia
Zip
24901-9053
Phone Number
304-520-4379
Fax Number
person
Provider Business Mailing Address Details
Address
348 Northridge Dr Apt 104
City
Lewisburg
State
West Virginia
Zip
24901-9053
Phone Number
304-520-4379
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
()
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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