Gudger, Karen

Gudger, Karen is an individual health care provider with primary practice located at 317 Creekstone Rdg , Woodstock GA 30188-3745. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gudger, Karen can be contacted via phone (770) 516-7138.

Contact Information

Primary practice address
317 Creekstone Rdg Woodstock GA 30188-3745
Phone: (770) 516-7138
Fax: (770) 516-3018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1455 Georgia

Profile Details

NPI number 1770648768
LBN Legal business name Gudger, Karen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 18th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770648768 NPPES
Georgia Other 58202790430188A003 TRICARE

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