Icey Dawn Goodrich
Icey Dawn Goodrich is a Community Health Worker in Fairmont, West Virginia. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
105 Maplewood DrFairmont, WV 26554-2147
Phone: (304) 366-8779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1720676059 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 3, 2021 |
| Last updated in NPPES | January 3, 2021 |
| Certification date | January 3, 2021 |
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