Individual
ELEANOR M GOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
7905 N MEADOWLARK WAY, SUITE C, COEUR D ALENE, ID 83815-5041
(208) 762-3979
(208) 762-4419
Mailing address
7905 N MEADOWLARK WAY, SUITE C, COEUR D ALENE, ID 83815-5041
(208) 762-3979
(208) 762-4419
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/02/2007
Last updated
10/04/2007
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