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Individual
JIMMY M GODWIN
Active
Individual
JIMMY M GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSWA, LCASA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3304-A
NC
1041C0700X
Clinical Social Worker
Primary
P007656
NC
Other
Enumeration date
01/02/2014
Last updated
03/18/2014
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