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Individual
LAURA BETH GODENICK
Active
Individual
LAURA BETH GODENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13405088-3501
UT
1041C0700X
Clinical Social Worker
Primary
13405088-3501
UT
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
05/05/2026
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