Individual
MR. KENNETH ARDELL GOLDEN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.S.W.
Contact information
Practice address
1485 ENDICOTT TER, TEANECK, NJ 07666-6031
(646) 717-1219
Mailing address
1485 ENDICOTT TER, TEANECK, NJ 07666-6031
(646) 717-1219
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
072114
NY
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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