Individual
MR. RICHARD HARRY GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1514 WOOD LN, MADISON, WI 53705-1457
(608) 239-2812
Mailing address
1514 WOOD LN, MADISON, WI 53705-1457
(608) 239-2812
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2014-123
WI
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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