Organization
GINA GODEK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA GODEK LICSW (CLINICAL SOCIAL WORKER)
(802) 922-3943
Entity
Organization
Contact information
Practice address
1 KENNEDY DR, SOUTH BURLINGTON, VT 05403-7152
(802) 922-3943
Mailing address
22 ARLINGTON GRN, SOUTH BURLINGTON, VT 05403-7001
(802) 922-3943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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