Individual
MS. DIANA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5841 SW 51ST ST, MIAMI, FL 33155-6319
(786) 229-6074
Mailing address
5841 SW 51ST ST, MIAMI, FL 33155-6319
(786) 229-6074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW7938
FL
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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