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Individual
ISMAEL JOEL CINTRON GONZALEZ
Active
Individual
ISMAEL JOEL CINTRON GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
224675
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042622756
CCA
MA
01
—
1134107113
BEACON
MA
01
—
12529
HNE
MA
05
—
1307576
—
MA
01
—
71756
TUFTS
MA
01
—
997303
NETWORK HEALTH
MA
01
—
S400559569
PTAN
MA
Enumeration date
11/02/2015
Last updated
03/22/2023
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