Individual
MS. PATRICIA DIANE GODWIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7050 HIGHLAND DR, SUITE 300-B, SALT LAKE CITY, UT 84121-3749
(801) 944-0938
(801) 944-0948
Mailing address
7050 HIGHLAND DR, SUITE 300-B, SALT LAKE CITY, UT 84121-3749
(801) 944-0938
(801) 944-0948
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
278496-3501
UT
Other
Enumeration date
08/19/2005
Last updated
07/08/2007
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