Organization
KATHERINE GOETZ LICSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE GOETZ LICSW (EMPLOYEE)
(802) 397-4331
Entity
Organization
Contact information
Practice address
99 NEWARK ST, WEST BURKE, VT 05871-9715
(802) 397-4331
Mailing address
99 NEWARK ST, WEST BURKE, VT 05871-9715
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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