JEREMIAH GOLDBERG

KIRTLAND AFB, NM
NPI1679905889
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: PA  CW018748)
Enumeration Date2013-07-30
Last Update Date2021-08-04
Business Address
Mr. JEREMIAH GOLDBERG LCSW
2050A 2ND ST SE
KIRTLAND AFB, NM 87117-5003
Phone number: 505-846-3200
Mailing Address
Mr. JEREMIAH GOLDBERG LCSW
2050A 2ND ST SE
KIRTLAND AFB, NM 87117-5901
Phone number: