Individual
MELISSA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 5TH AVE, BAY SHORE, NY 11706-4147
(631) 665-1900
Mailing address
1428 5TH AVE, BAY SHORE, NY 11706-4147
(631) 665-1900
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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