Individual
DARA GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
4853 CORDELL AVE, SUITE PH 12, BETHESDA, MD 20814-7055
(301) 908-2643
Mailing address
4853 CORDELL AVE, SUITE PH 12, BETHESDA, MD 20814-7055
(301) 908-2643
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14017
MD
1041C0700X
Clinical Social Worker
LCD50078971
DC
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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