Individual
MARY GOLDBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1775 NEWMAN RD, MT PLEASANT, WI 53406
(884) 888-0355
(844) 222-4005
Mailing address
1700 S BEAUMONT AVE, KANSASVILLE, WI 53139-9715
(262) 930-8824
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8997-123
WI
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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