# SHARON L. GOEDKOOP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sharon L. Goedkoop, LICSW
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942644216
- **Authorized official:** SHARON L. GOEDKOOP LICSW (LICENSED SOCIAL WORKER)
- **Authorized official phone:** (802) 356-9393

## Contact information

- **Practice address:** 2458 CHRISTIAN STREET, SUITE 214, WILDER, VT 05088
- **Practice address phone:** (802) 356-9393
- **Mailing address:** PO BOX 842, WILDER, VT 05088-0842
- **Mailing address phone:** (802) 356-9393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 089.0001132 | VT | Yes |

## Other

- **Enumeration date:** 04/17/2013
- **Last updated:** 02/14/2023