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Organization

JASON M GOLDBERG, LCSW-C, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JASON MATTHEW GOLDBERG LCSW-C (OWNER/PSYCHOTHERAPY)
(202) 329-7696
Entity
Organization

Contact information

Practice address
4815 SAINT ELMO AVE, SUITE 100, BETHESDA, MD 20814-7061
(301) 664-6449
(301) 664-7922
Mailing address
4815 SAINT ELMO AVE, SUITE 100, BETHESDA, MD 20814-7061
(301) 664-6449
(301) 664-7922

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12697
MD

Other

Enumeration date
01/04/2011
Last updated
05/09/2011
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