MIRIAM L GOLDBERG
Licensed Clinical Social Worker


Address: 77 Hird Street, Stamford, CT 06905

MIRIAM L GOLDBERG (Credential# 779254) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is February 4, 1999. The license expiration date date is February 29, 2000. The license status is INACTIVE.

Business Overview

MIRIAM L GOLDBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.000931. The credential type is licensed clinical social worker. The effective date is February 4, 1999. The expiration date is February 29, 2000. The business address is 77 Hird Street, Stamford, CT 06905. The current status is inactive.

Basic Information

Licensee Name MIRIAM L GOLDBERG
Credential ID 779254
Credential Number 58.000931
Credential Type Licensed Clinical Social Worker
Business Address 77 Hird Street
Stamford
CT 06905
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1986-09-29
Effective Date 1999-02-04
Expiration Date 2000-02-29
Refresh Date 2009-07-08

Office Location

Street Address 77 HIRD STREET
City STAMFORD
State CT
Zip Code 06905

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Competitor

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City STAMFORD
Zip Code 06905
License Type Licensed Clinical Social Worker
License Type + County Licensed Clinical Social Worker + STAMFORD

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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