Katherine Goetz Licsw Llc | |
99 Newark St West Burke VT 05871-9715 | |
(802) 397-4331 | |
Not Available |
Full Name | Katherine Goetz Licsw Llc |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 99 Newark St, West Burke, Vermont |
Authorized Official Name and Position | Katherine Goetz (EMPLOYEE) |
Authorized Official Contact | 8023974331 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Katherine Goetz Licsw Llc 99 Newark St West Burke VT 05871-9715 Ph: () - | Katherine Goetz Licsw Llc 99 Newark St West Burke VT 05871-9715 Ph: (802) 397-4331 |
NPI Number | 1275252033 |
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Provider Enumeration Date | 08/24/2022 |
Last Update Date | 08/24/2022 |
Certification Date | 08/24/2022 |
Identifier | Type | State | Issuer |
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1275252033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |