MARTIN JAY GOLLOUB

GLEN COVE, NY
NPI1659523926
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  PR014204-1)
Enumeration Date2008-10-17
Last Update Date2008-10-17
Business Address
-- MARTIN JAY GOLLOUB LCSW, BCD
66 SUGAR MAPLE LN
GLEN COVE, NY 11542-1632
Phone number: 516-676-3830
Mailing Address
-- MARTIN JAY GOLLOUB LCSW, BCD
66 SUGAR MAPLE LN
GLEN COVE, NY 11542-1632
Phone number: 516-676-3830
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