Individual
DUSTIN GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
801 S WOODLAWN AVE STE 15, O FALLON, MO 63366-7647
(636) 379-1779
Mailing address
345 HIGHGROVE PLACE DR, O FALLON, MO 63366-4384
(314) 583-2705
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2024033725
MO
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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