Organization
BEHAVIORAL CONNECTIONS OF WOOD COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD GOLDBERG PH.D. (CHIEF EXECUTIVE OFFICER)
(419) 352-5387
Entity
Organization
Contact information
Practice address
320 W GYPSY LANE RD, BOWLING GREEN, OH 43402-4572
(419) 352-5387
Mailing address
320 W GYPSY LANE RD, BOWLING GREEN, OH 43402-4572
(419) 352-5387
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S28711
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29968067400
OHIO BWC
OH
Enumeration date
01/31/2008
Last updated
01/31/2008
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