RUSSELL GODWIN

DECATUR, GA
NPI1225417454
Professional NameRUSSELL GODWIN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW002403)
Enumeration Date2015-05-20
Last Update Date2017-01-20
Business Address
-- RUSSELL GODWIN LCSW
2784 N DECATUR RD
DECATUR, GA 30033-5903
Phone number: 404-234-6907
Mailing Address
-- RUSSELL GODWIN LCSW
2784 N DECATUR RD STE 145
DECATUR, GA 30033-5903
Phone number: 404-234-6907
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