Individual
ANTOINETTE GODWIN-COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11320 DOGWOOD DR, HAGERSTOWN, MD 21740-7086
(240) 305-6363
Mailing address
11320 DOGWOOD DR, HAGERSTOWN, MD 21740-7086
(240) 305-6363
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/07/2018
Last updated
01/31/2025
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