Individual
ALLISON BEATRIZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
66 N MAIN ST, MEDFORD, NJ 08055-2719
(973) 997-8545
Mailing address
4 CONIFER CT, SICKLERVILLE, NJ 08081-4642
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL06419900
NJ
1041C0700X
Clinical Social Worker
Primary
44SC06111600
NJ
Other
Enumeration date
06/26/2020
Last updated
07/28/2023
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