Individual
MISS EILEEN C GONZALEZ LEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9040 JACKSON AVENUE, TACOMA, WA 98431-4747
(253) 968-2252
Mailing address
9040 JACKSON AVENUE, TACOMA, WA 98431-0001
(253) 968-2252
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05362300
NJ
Other
Enumeration date
04/18/2011
Last updated
12/08/2022
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