Individual
MS. EMILIA GODINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1276 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4101
(651) 647-3169
(651) 641-1005
Mailing address
1276 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4101
(651) 647-3169
(651) 641-1005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11053
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125282
U CARE
—
05
—
601316300
—
MN
01
—
6290941
MEDICA
—
01
—
ZID54GO
BC/BS
—
Enumeration date
07/20/2005
Last updated
01/08/2015
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