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Individual

DR. NORMAN GOLDFARB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
5225 N IRONWOOD LN STE 102, GLENDALE, WI 53217-4909
(414) 962-9156
(414) 962-4356
Mailing address
5225 N IRONWOOD LN, GLENDALE, WI 53217-4909
(414) 962-9156
(414) 962-4356

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
684-057
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39074800
WI
Enumeration date
09/20/2006
Last updated
10/27/2010
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