Martin Jay Golloub, LCSW, BCD

NPI #1659523926 in Glen Cove, New York

Provider Information

NPI Number: 1659523926
Entity Type: Individual
Name: Martin Jay Golloub, LCSW, BCD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW, BCD
Enumeration Date: Oct 17, 2008
Last Updated: Oct 17, 2008

Practice Location

Address: 66 SUGAR MAPLE LN
City: Glen Cove
State: New York
ZIP Code: 11542-1632
Phone: (516) 676-3830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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