Individual
SONG GODWIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
6901 S YOSEMITE ST, SUITE 106, CENTENNIAL, CO 80112-1442
(303) 694-3360
Mailing address
6901 S YOSEMITE ST, SUITE 106, CENTENNIAL, CO 80112-1442
(303) 694-3360
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
54314
CO
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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