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Individual

RUBY A GODINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1316 WALL ST STE 2D, EVERETT, WA 98201-3942
(425) 340-3500
(425) 287-6398
Mailing address
1316 WALL ST STE 2D, EVERETT, WA 98201-3942
(425) 340-3500
(425) 642-0022

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW60713138
WA
1041C0700X
Clinical Social Worker
LW60713138
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2099350
WA
Enumeration date
04/27/2018
Last updated
04/23/2026
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