Individual
GEORGE LEWIS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
401 BROADWAY, SUITE 2075, SEATTLE, WA 98122
(206) 744-1633
(206) 744-1614
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60848592
WA
Other
Enumeration date
12/21/2021
Last updated
02/17/2022
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