Individual
HARRY GOLDWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
489 MAIN ST, PRINCE FREDERICK, MD 20678-3187
(410) 535-3047
(301) 609-9091
Mailing address
13804 MILLS AVE, SILVER SPRING, MD 20904-1052
(301) 642-1553
(301) 609-9091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18348
MD
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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