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1174630065
STEPHEN GREGG GODFREY
TITUSVILLE, FL
NPI
1174630065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL LMHC6545)
Enumeration Date
2006-08-24
Last Update Date
2010-01-26
Business Address
Mr. STEPHEN GREGG GODFREY PsyD,NCC,LMHC.
1313 S WASHINGTON AVE STE D
TITUSVILLE, FL 32780-4292
Phone number: 321-567-4903
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Mailing Address
Mr. STEPHEN GREGG GODFREY PsyD,NCC,LMHC.
1313 S WASHINGTON AVE STE D
TITUSVILLE, FL 32780-4292
Phone number: 321-567-4903
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