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Vicki Godbold
NPI 1942443999 · on the registry since 2009 · sole proprietor
Practice
- Address
- 210 W Harrison St
Dillon, SC 29536 - Phone
- (843) 774-7132
- Fax
- (843) 841-2482
- Organisation at this address
- Mindful Behavioral Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-04-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina