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1821264961
MARK GOLDBERG
WEST ORANGE, NJ
NPI
1821264961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44sc05240000)
Enumeration Date
2008-05-07
Last Update Date
2008-06-17
Business Address
-- MARK GOLDBERG LCSW
27 SWAYZE ST
WEST ORANGE, NJ 07052-2025
Phone number: 973-736-3655
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Mailing Address
-- MARK GOLDBERG LCSW
27 SWAYZE ST
WEST ORANGE, NJ 07052-2025
Phone number: 973-736-3655
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