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Individual

ADAM GODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
2607 CADDO ST STE 6, ARKADELPHIA, AR 71923-5307
(870) 230-8217
Mailing address
2607 CADDO ST STE 6, ARKADELPHIA, AR 71923-5307

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
04/15/2010
Last updated
11/30/2021
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