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Individual

MS. BRENDA ELYSSE GOLEBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
9 WEST 10TH ST., 2R, NEW YORK CITY, NY 10011-8748
(212) 663-8662
Mailing address
417 RIVERSIDE DRIVE, APT.A, NEW YORK CITY, NY 10025-7928
(212) 663-8662

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R028129-1
NY

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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