Individual
JEFFREY M GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
3355 SAINT JOHNS LN STE J, ELLICOTT CITY, MD 21042-2600
(240) 723-0990
Mailing address
3355 SAINT JOHNS LN STE F, ELLICOTT CITY, MD 21042-2600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
14411
MD
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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