Individual
MS. LORI SUE GOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4315 MOUNT PUTMAN AVE, SAN DIEGO, CA 92117-4750
(858) 344-6045
(858) 567-4462
Mailing address
4315 MOUNT PUTMAN AVE, SAN DIEGO, CA 92117-4750
(858) 344-6045
(858) 567-4462
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
LCS11988
CA
1041C0700X
Clinical Social Worker
LCS11988
CA
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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