Individual
DEBBIE ALEXANDER GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
298 CAHAL ST, HATTIESBURG, MS 39401-2920
(601) 582-9157
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1518
MS
Other
Enumeration date
12/17/2012
Last updated
02/04/2013
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