Individual
LATRISHA GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 S MAIN ST, STILLWATER, OK 74074
(405) 824-3408
Mailing address
1409 S MAIN ST, STILLWATER, OK 74074
(405) 824-3408
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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