Individual
KYLIE ANN GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1221 WHIPPLE ST, EAU CLAIRE, WI 54703-5200
(715) 838-5222
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
132331
WI
Other
Enumeration date
02/26/2016
Last updated
01/15/2025
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