# KATHERINE GOETZ LICSW LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275252033
- **Authorized official:** KATHERINE GOETZ LICSW (EMPLOYEE)
- **Authorized official phone:** (802) 397-4331

## Contact information

- **Practice address:** 99 NEWARK ST, WEST BURKE, VT 05871-9715
- **Practice address phone:** (802) 397-4331
- **Mailing address:** 99 NEWARK ST, WEST BURKE, VT 05871-9715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2022
- **Last updated:** 08/24/2022