Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | LMSW-1450 | AZ |
NPI | 1003272857 |
---|---|
Provider Name | Sarah Godsil |
First Address | Tucson, AZ 85742-8130 |
Second Address | Tucson, AZ 85742-8130 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2016 |
Last Update Date | 10/01/2016 |