| Gina Godek Llc | |
|
1 Kennedy Dr South Burlington VT 05403-7152 | |
| (802) 922-3943 | |
| Not Available |
| Full Name | Gina Godek Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1 Kennedy Dr, South Burlington, Vermont |
| Authorized Official Name and Position | Gina Godek (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8029223943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Godek Llc 22 Arlington Grn South Burlington VT 05403-7001 Ph: (802) 922-3943 | Gina Godek Llc 1 Kennedy Dr South Burlington VT 05403-7152 Ph: (802) 922-3943 |
| NPI Number | 1194541359 |
|---|---|
| Provider Enumeration Date | 12/03/2024 |
| Last Update Date | 12/03/2024 |
| Certification Date | 12/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194541359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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