Individual
MARGERY I GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
179 LISBON ST, SUITE 200, LEWISTON, ME 04240-7248
(207) 783-1043
Mailing address
PO BOX 1747, LEWISTON, ME 04241-1747
(207) 782-2492
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC1726
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034527
BC/BS
ME
Enumeration date
06/17/2006
Last updated
02/19/2013
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