Individual
STEPHANIE TAYLOR GODIWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
116 OLIVER HEIGHTS RD, OWINGS MILLS, MD 21117-5067
(252) 531-6828
(443) 394-2639
Mailing address
116 OLIVER HEIGHTS RD, OWINGS MILLS, MD 21117-5067
(252) 531-6828
(443) 394-2639
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23828
NY
106H00000X
Marriage & Family Therapist
06 000749
NY
106H00000X
Marriage & Family Therapist
Primary
LCM434
MD
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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