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Individual
REBECCA B. GOLEN
Active
Individual
REBECCA B. GOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
DN005995
PA
Other
Enumeration date
05/13/2010
Last updated
02/23/2017
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