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Individual
MRS. NANCY ANN GOLDBERG
Active
Individual
MRS. NANCY ANN GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0903001447
VA
1041C0700X
Clinical Social Worker
0904007831
VA
1041C0700X
Clinical Social Worker
Primary
149.015468
IL
Other
Enumeration date
11/24/2008
Last updated
11/16/2012
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