Individual
MS. ANITA GODSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6122 RIDGE AVE, PHILADELPHIA, PA 19128-1603
(215) 487-1330
Mailing address
327 SHAWMONT AVE APT C, PHILADELPHIA, PA 19128-4249
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016766
PA
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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