Individual
GAYLE D GOLDBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1957 THOMPSON RD, COOS BAY, OR 97420-2040
(541) 266-8575
(541) 269-7656
Mailing address
1957 THOMPSON RD, COOS BAY, OR 97420-2040
(541) 266-8575
(541) 269-7656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3121
OR
Other
Enumeration date
07/14/2006
Last updated
08/01/2013
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