Individual
MISS DEANNA LOUISE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4505 E 47TH ST S, WICHITA, KS 67210-1651
(316) 425-2420
(316) 529-9351
Mailing address
934 N WATER ST, WICHITA, KS 67203-3838
(316) 660-7600
(316) 941-5075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4698
KS
Other
Enumeration date
04/29/2011
Last updated
08/24/2017
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