Individual
HEATHER GOLDFARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW L
Contact information
Practice address
5257 BUCKEYSTOWN PIKE # 496, FREDERICK, MD 21704-7535
(240) 674-5485
Mailing address
5257 BUCKEYSTOWN PIKE # 496, FREDERICK, MD 21704-7535
(240) 674-5485
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12224
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0403812600
—
MD
Enumeration date
12/12/2005
Last updated
10/20/2013
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