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Individual

ERIC ROBERT GODFROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW, LCSW

Contact information

Practice address
1800 E TRUMAN RD, KANSAS CITY, MO 64127-1938
(816) 404-1000
(816) 404-6318
Mailing address
712 NE 81ST ST, KANSAS CITY, MO 64118-1304
(816) 206-4397

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
9646
KS
1041C0700X
Clinical Social Worker
Primary
2018016895
MO

Other

Enumeration date
02/13/2019
Last updated
02/13/2019
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