Individual
BRANDY JO GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRS
Contact information
Practice address
110 W WALNUT ST, LANCASTER, OH 43130-4344
(740) 500-0426
Mailing address
110 W WALNUT ST, LANCASTER, OH 43130-4344
(740) 500-0426
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.005806
OH
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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