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Individual

STEPHANIE L GOLDBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-R

Contact information

Practice address
8 HILLSIDE AVE STE 105, MONTCLAIR, NJ 07042-2129
(347) 508-3112
Mailing address
73 MYRTLE AVE, MONTCLAIR, NJ 07042-2107
(347) 508-3112

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
074884-1
NY
1041C0700X
Clinical Social Worker
078270
NY
1041C0700X
Clinical Social Worker
44SC05969400

Other

Enumeration date
01/22/2008
Last updated
04/03/2025
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