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Individual
DAMARA GONZALEZ
Active
Individual
DAMARA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
103935
NY
104100000X
Social Worker
Primary
103935-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
111733454
NY
Other
Enumeration date
04/01/2016
Last updated
04/05/2021
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