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Organization
GGONZALEZLICSW, PLLC
Active
Organization
GGONZALEZLICSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE GONZALEZ (CLINICAL SOCIAL WORKER)
(781) 724-2600
Entity
Organization
Contact information
Practice address
17A OLD TOPSFIELD RD, BOXFORD, MA 01921-2666
(781) 724-2600
Mailing address
PO BOX 68, BOXFORD, MA 01921-0068
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518002757
NPI
MA
Enumeration date
03/12/2024
Last updated
03/12/2024
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