Individual
MR. MARVIN GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1141 E 3900 S, A-170, SALT LAKE CITY, UT 84124-1215
(801) 284-4990
(801) 284-4991
Mailing address
1141 E 3900 S SUITE A 170, SALT LAKE CITY, UT 84124
(801) 284-4990
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1380913501
UT
Other
Enumeration date
12/23/2005
Last updated
03/17/2008
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