Dustin Godwin, LMSW Valid NPI
Individual provider · Clinical Social Worker · O Fallon, MO
- NPI
- 1477389443
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 2024033725 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2024-09-09
- Last updated
- 2024-09-09
Practice location
801 S Woodlawn Ave Ste 15
O Fallon, MO 63366-7647
(636) 379-1779