MR. Jeremiah Goldberg, LCSW

NPI #1679905889 in Kirtland Afb, New Mexico

Provider Information

NPI Number: 1679905889
Entity Type: Individual
Name: MR. Jeremiah Goldberg, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jul 30, 2013
Last Updated: Aug 4, 2021

Practice Location

Address: 2050A 2ND ST SE
City: Kirtland Afb
State: New Mexico
ZIP Code: 87117-5003
Phone: (505) 846-3200

Specialties & Taxonomy Codes

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

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