Individual
HENCHI GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 S FULLERTON AVE, MONTCLAIR, NJ 07042-3455
(973) 768-8000
Mailing address
355 BROOK AVE, PASSAIC, NJ 07055-2425
(973) 768-8000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05716100
NJ
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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