Individual
DR. ANNETTE G. GODOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
180 WENTWORTH ST, CHARLESTON, SC 29401-1235
(843) 723-0227
Mailing address
180 WENTWORTH ST, CHARLESTON, SC 29401-1235
(843) 723-0227
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
221
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221
STATE LICENSURE NUMBER
SC
Enumeration date
05/09/2007
Last updated
07/08/2007
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