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Individual
PETER GODFREY
Active
Individual
PETER GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LCAS, CSI
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-20068
NC
1041C0700X
Clinical Social Worker
Primary
C009700
NC
Other
Enumeration date
07/31/2015
Last updated
01/14/2019
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