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Individual
JACQUELYN GONZALEZ
Active
Individual
JACQUELYN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
116965
CA
1041C0700X
Clinical Social Worker
Primary
116965
—
1041C0700X
Clinical Social Worker
Primary
141041
CA
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/09/2022
Last updated
08/03/2026
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