MR. Larry Allen Goldman, LICSW
NPI #1336244425 in Brooklyn Center, Minnesota
Provider Information
- NPI Number
- 1336244425
- Entity Type
- Individual
- Name
- MR. Larry Allen Goldman, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Sep 13, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6860 SHINGLE CREEK PKWY
- Address 2
- SUITE 116
- City
- Brooklyn Center
- State
- Minnesota
- ZIP Code
- 55430-1411
- Phone
- (763) 560-4860
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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