Individual
STEVE GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3734 7TH AVE, SUITE 12, KENOSHA, WI 53140-5525
(262) 654-9370
(262) 654-9379
Mailing address
3734 7TH AVE, SUITE 12, KENOSHA, WI 53140-5525
(262) 654-9370
(262) 654-9379
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39505100
—
WI
Enumeration date
10/17/2006
Last updated
07/08/2007
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