Good Grief, Llc | |
208 State Street, Suite 2 Hood River OR 97031 | |
(541) 550-0977 | |
Not Available |
Full Name | Good Grief, Llc |
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Speciality | Social Worker |
Location | 208 State Street, Suite 2, Hood River, Oregon |
Authorized Official Name and Position | Gwendolyn Williams Thomas (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 5415500977 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Good Grief, Llc 208 State Street, Suite 2 Hood River OR 97031 Ph: (541) 550-0977 | Good Grief, Llc 208 State Street, Suite 2 Hood River OR 97031 Ph: (541) 550-0977 |
NPI Number | 1568108504 |
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Provider Enumeration Date | 05/11/2022 |
Last Update Date | 05/12/2022 |
Certification Date | 05/12/2022 |
Medicare PECOS PAC ID | 9739569138 |
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Medicare Enrollment ID | O20220701000548 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568108504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Gwendolyn Thomas |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558598599 PECOS PAC ID: 9133273402 Enrollment ID: I20090820000710 |
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