Individual
AMY GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4445 CORPORATION LN, VA BEACH, VA 23462-3262
(434) 205-1527
Mailing address
4445 CORPORATION LN STE 264, VA BEACH, VA 23462-3671
(804) 460-9670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013233
VA
1041C0700X
Clinical Social Worker
1029325
MA
Other
Enumeration date
03/12/2007
Last updated
06/12/2024
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