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Individual

MARIA GONZALEZ-IGLESIAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., LCSW

Contact information

Practice address
1640 POWERS FERRY RD SE, BUILDING 19 SUITE 200, MARIETTA, GA 30067-5491
(770) 395-0223
Mailing address
607 RIVERLAWN CT, ATLANTA, GA 30339-2993
(770) 316-2372
(770) 818-2340

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003317
GA

Other

Enumeration date
03/12/2012
Last updated
03/12/2012
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