Individual
DIANE GODYNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1703 BEULAH AVE, PUEBLO, CO 81004-2705
(719) 214-4908
Mailing address
1703 BEULAH AVE, PUEBLO, CO 81004-2705
(719) 214-4908
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05170800
NJ
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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