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Individual

ELLIANA OLSTEIN GOLDBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
85 PARK AVE, UNIT 108, GLEN RIDGE, NJ 07028-2326
(973) 746-8416
Mailing address
85 PARK AVE, UNIT 108, GLEN RIDGE, NJ 07028-2326
(973) 746-8416

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SCO196700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1194877381
NPI
NJ
Enumeration date
01/17/2007
Last updated
02/22/2008
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