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Individual

GARY JEFFREY GOLDBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
900 ROUTE 168 STE D1, TURNERSVILLE, NJ 08012-3207
(856) 228-1005
Mailing address
910 SOCIETY HILL BLVD, CHERRY HILL, NJ 08003-2415
(609) 670-7841

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00186700
NJ

Other

Enumeration date
05/10/2019
Last updated
05/10/2019
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