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Individual

ELLEN MARGARET GOLDWASSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2200 N HIGHWAY 67 # 125, FLORISSANT, MO 63033-9997
(314) 616-6211
(949) 404-6103
Mailing address
1530 F ST UNIT 301, SACRAMENTO, CA 95814-1676
(314) 699-4216
(949) 404-6103

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2015012173
MO

Other

Enumeration date
01/31/2020
Last updated
02/01/2020
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