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Individual

MS. MIRIAM CLAIRE GODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LMFT

Contact information

Practice address
2534 BEAVER CREEK RD, GREENVILLE, NC 27834-2019
(252) 916-9835
Mailing address
2534 BEAVER CREEK RD, GREENVILLE, NC 27834-2019
(252) 916-9835

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1125
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6105116
NC
Enumeration date
10/03/2006
Last updated
02/19/2025
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