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Individual

MR. BARRY KEVIN GODFREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1875 FANT DR, FORT OGLETHORPE, GA 30742-3307
(706) 539-2228
(706) 539-1521
Mailing address
1875 FANT DR, FORT OGLETHORPE, GA 30742-3307
(706) 861-3387

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006855
GA

Other

Enumeration date
03/06/2009
Last updated
11/04/2019
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