Individual
MAX J GOLDSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 313-1184
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 313-1184
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW.0009923817
CO
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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