Individual
DAVE GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(917) 304-7032
Mailing address
PO BOX 141214, DETROIT, MI 48214-6214
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802065738
MI
Other
Enumeration date
05/17/2006
Last updated
09/12/2007
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