Individual
CHARLEY ROWYNNE UTTAL GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
3400 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-1542
(202) 724-7666
Mailing address
1306 DEXTER TER SE, WASHINGTON, DC 20020-5204
(202) 507-3597
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC200001390
DC
Other
Enumeration date
08/29/2019
Last updated
03/24/2022
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