Marjorie Provost Goldbaum, LICSW LADC
NPI #1407869704 in Chelmsford, Massachusetts
Provider Information
- NPI Number
- 1407869704
- Entity Type
- Individual
- Name
- Marjorie Provost Goldbaum, LICSW LADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW LADC
- Enumeration Date
- Aug 15, 2006
- Last Updated
- Feb 2, 2016
Practice Location
- Address
- 201 CHELMSFORD ST
- City
- Chelmsford
- State
- Massachusetts
- ZIP Code
- 01824-2359
- Phone
- (978) 256-1467
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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