Individual
MR. BRUCE EDWARD GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
33975 DEQUINDRE RD, SUITE 5, TROY, MI 48083-4649
(248) 421-0717
Mailing address
33975 DEQUINDRE RD, SUITE 5, TROY, MI 48083-4649
(248) 421-0717
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801069734
MI
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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