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Neeley Godwin

Community Health Worker in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1265891782
StatusActive
Last updated in NPPESFeb 11, 2016

Details

NPI
1265891782
Entity type
Individual (NPI-1)
Name
Ms. Neeley Godwin
Sex
Female
Sole proprietor
No
Enumeration date
Feb 11, 2016
Last updated
Feb 11, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

344 E 100 S Ste 301
Salt Lake City, UT 84111-1727

Phone 801-322-4257

Mailing address

126 S 1200 E
Salt Lake City, UT 84102-1610

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