Individual
MS. HOPE MULLINS GODLESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
50 GILBERT CIR, SUWANEE, GA 30024-3709
(678) 925-4101
Mailing address
50 GILBERT CIR, SUWANEE, GA 30024-3709
(678) 925-4101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW004459
GA
171M00000X
Case Manager/Care Coordinator
Primary
CSW004459
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW004459
STATE LICENSE
GA
Enumeration date
01/16/2007
Last updated
11/29/2022
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