Individual
AMY LORENE GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
6 HAMMOND ST # 28, MATTAPOISETT, MA 02739-2602
(301) 706-7110
Mailing address
PO BOX 28, MATTAPOISETT, MA 02739-0028
(301) 706-7110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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