Individual
BRIANNE GODLEVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1560 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6462
(817) 668-0513
Mailing address
8417 RAM RIDGE RD, FORT WORTH, TX 76137-5931
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
95554
TX
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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