Individual
BERNADETTE AUGUSTINE GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
18 COUNTY ROAD 458, MOUNTAIN HOME, AR 72653-8212
(870) 425-5252
Mailing address
794 MARQUIS DR, MOUNTAIN HOME, AR 72653-5079
(870) 404-6884
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1626
AR
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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