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Individual

JOHN LEO GODFREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
5373 S GREEN ST STE 40084123, MURRAY, UT 84123-4680
(833) 442-2670
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(833) 442-2670

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
01/07/2022
Last updated
01/07/2022
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