Individual
KRISTI BRYNT GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4457 KENILWORTH CIR, VALDOSTA, GA 31605-8018
(229) 237-0036
Mailing address
4457 KENILWORTH CIR, VALDOSTA, GA 31605-8018
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001149
GA
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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