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Individual

MISS CANDICE GOLDBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
215 WEST 88TH STREET, SUITE 1C, NEW YORK, NY 10024-6421
(212) 696-7856
Mailing address
215 WEST 88TH STREET, SUITE 1C, NEW YORK, NY 10024-1558
(212) 696-7856

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R053626-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P3131870
OXFORD PROVIDER ID NUMBER
NY
Enumeration date
07/26/2006
Last updated
02/15/2012
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