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Individual

MR. FERNANDO GONZALEZ III

Active
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Individual

MR. FERNANDO GONZALEZ III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
150102999
IL
1041C0700X
Clinical Social Worker
Primary
149.021105
IL

Other

Enumeration date
07/31/2018
Last updated
04/01/2021
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