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Individual
MR. JOSE GONZALEZ JR.
Active
Individual
MR. JOSE GONZALEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
31749
NY
1041C0700X
Clinical Social Worker
Primary
RO31749
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31749
SOCIAL WORK
NY
Enumeration date
05/08/2008
Last updated
01/18/2021
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