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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770648768 | NPPES |
| Georgia | Other | 58202790430188A003 | TRICARE |
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