Individual
MR. LARRY ALLEN GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
6860 SHINGLE CREEK PKWY, SUITE 116, BROOKLYN CENTER, MN 55430-1411
(763) 560-4860
(763) 503-1430
Mailing address
6860 SHINGLE CREEK PKWY, SUITE 116, BROOKLYN CENTER, MN 55430-1411
(763) 560-4860
(763) 503-1430
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
539
MN
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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