Individual
MISS ALICE LYNN GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSWA, LCAS
Contact information
Practice address
309 CRUTCHFIELD ST, DURHAM, NC 27704-2754
(919) 560-7305
Mailing address
309 CRUTCHFIELD ST, DURHAM, NC 27704-2754
(919) 560-7305
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2077
NC
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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