Individual
DANIELLE NICOLE GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 W WASHINGTON ST STE 504, SUFFOLK, VA 23434-5246
(757) 281-8366
Mailing address
112 W WASHINGTON ST STE 504, SUFFOLK, VA 23434-5246
(757) 281-8366
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3322
VA
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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