Individual
MARY L GODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2032 MAPLE ST, CARROLLTON, GA 30117
(470) 729-0717
Mailing address
58 HAMPTON WAY, CARROLLTON, GA 30116-8905
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC013762
GA
Other
Enumeration date
08/27/2019
Last updated
01/15/2025
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