Individual
MRS. ELRITA MICHELLE GODBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
525 ROUTE 73 S, MARLTON, NJ 08053-9642
(267) 225-1972
Mailing address
104 CENTRE BLVD STE B, MARLTON, NJ 08053-4130
(856) 258-7464
(856) 872-7833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SCO5304200
NJ
Other
Enumeration date
05/20/2009
Last updated
04/14/2022
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