Individual
ADELE GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 RADIO STATION RD, LA PLATA, MD 20646-3314
(301) 609-9887
Mailing address
PO BOX 2924, LA PLATA, MD 20646-2984
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22776
MD
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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