NPI 1033202114

Terry L Goldade, LICSW

Practitioner Clinical Social Worker Williston, ND

Practice location

Address: 316 2nd Ave W, Williston, ND 58801
Phone: (701) 774-4600
Fax: (701) 774-4620
Mailing address: 519 10th Ave W, Williston, ND 58801

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 840 (ND)

Other Social Worker providers in North Dakota →

Registry record

NPI: 1033202114
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.