Individual
KIERSTIN ELIZABETH GODIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8548 JADE ROAD, KINGDOM CITY, MO 65262-6526
(573) 642-5345
(573) 642-5162
Mailing address
PO BOX 59, KINGDOM CITY, MO 65262-0059
(573) 642-5345
(573) 642-5162
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2019033077
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019033077
LMSW LICENSE NUMBER
MO
Enumeration date
09/10/2019
Last updated
09/10/2019
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