Individual
ATHENA WIND GOLDBERG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
18 MYRTLE ST, SUITE 102, MEDFORD, OR 97504-7471
(541) 245-5577
Mailing address
2180 MILFORD DR, MEDFORD, OR 97501-4348
(541) 772-3993
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3576
OR
Other
Enumeration date
11/08/2005
Last updated
07/08/2007
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