Individual
VALERIE ANN GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16 CRESENCIANO RD, TIJERAS, NM 87059
(505) 259-9407
Mailing address
PO BOX 1268, TIJERAS, NM 87059-1268
(505) 259-9407
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
X-08680
NM
1041C0700X
Clinical Social Worker
M-09242
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2023-1255
NM
Other
Enumeration date
07/01/2014
Last updated
05/20/2024
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