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Individual

VICTORIA GODFREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., IECMH-E

Contact information

Practice address
8318 HIBISCUS LN, INDIAN LAND, SC 29707-5022
(704) 277-3680
Mailing address
8318 HIBISCUS LN, INDIAN LAND, SC 29707-5022
(704) 277-3680

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
SC
222Q00000X
Developmental Therapist
SC

Other

Enumeration date
06/01/2026
Last updated
06/01/2026
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