Individual
KELSI MCBRAYER GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1792 E JOYCE BLVD STE 105, FAYETTEVILLE, AR 72703-5253
(479) 358-7690
Mailing address
7452 CHARLOTTE AVE, SPRINGDALE, AR 72762-7021
(479) 208-3402
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8347-C
AR
1041C0700X
Clinical Social Worker
Primary
8347-C
AR
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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