Individual
MR. RICK G GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3385 POTOMAC WAY, IDAHO FALLS, ID 83404-4978
(208) 542-7159
(208) 522-2767
Mailing address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 542-7159
(208) 522-2767
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-29004
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-32181
ID
Other
Enumeration date
04/15/2009
Last updated
11/14/2018
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