Individual
MRS. SUSAN GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LATC
Contact information
Practice address
8890 CENTRE PARK DR, COLUMBIA, MD 21045-2188
(410) 884-6000
Mailing address
16190 ED WARFIELD RD, WOODBINE, MD 21797-7812
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
A0000027
MD
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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