Individual
MS. ILYSE SARAH GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6363 SAINT CHARLES AVE, CAMPUS BOX 200, NEW ORLEANS, LA 70118-6143
(504) 865-3835
Mailing address
6363 SAINT CHARLES AVE, CAMPUS BOX 200, NEW ORLEANS, LA 70118-6143
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9235
LA
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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