Individual
EMILY GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18459 N STONEGATE RD, MARICOPA, AZ 85138-3719
(203) 617-7970
Mailing address
18459 N STONEGATE RD, MARICOPA, AZ 85138-3719
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10239656
AZ
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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