Individual
CARMEN ANN GONZALES I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 S ANAHEIM BLVD, ANAHEIM, CA 92805-5806
(714) 533-6220
Mailing address
626 N PACIFIC AVE, GLENDALE, CA 91203-1618
(626) 590-4186
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
62475
CA
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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