Individual
MICHAEL BRANDON GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7505 ILLINOIS ST, LITTLE ROCK, AR 72207-6000
(501) 420-0906
Mailing address
415 N MCKINLEY ST STE 520, LITTLE ROCK, AR 72205-3175
(501) 420-0906
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9786-M
AR
1041C0700X
Clinical Social Worker
Primary
9786-C
AR
Other
Enumeration date
11/25/2020
Last updated
11/25/2025
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