-- RUSSELL GODWIN LCSW ⚕️ Georgia 1225417454

NPI	1225417454
Professional Name	RUSSELL GODWIN
Entity Type	Individual
Gender	Male
Sole Proprietor ?	Yes
Primary Taxonomy	1041C0700X Social Worker, Clinical (Licence: GA CSW002403)
Enumeration Date	2015-05-20
Last Update Date	2017-01-20

-- RUSSELL GODWIN LCSW

2784 N DECATUR RD

DECATUR, GA 30033-5903

Phone number: 404-234-6907

-- RUSSELL GODWIN LCSW

2784 N DECATUR RD STE 145

DECATUR, GA 30033-5903

Phone number: 404-234-6907