Individual
MRS. LESLIE GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CGC
Contact information
Practice address
3741 RUTLEDGE RD NE, ALBUQUERQUE, NM 87109-5566
(505) 798-9300
Mailing address
3741 RUTLEDGE RD NE, ALBUQUERQUE, NM 87109-5566
(505) 798-9300
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC2012-002
NM
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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