Individual
MICHELLE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 LAWRENCE AVE, CHILDREN'S PROGRAM, BROOKLYN, NY 11230-1103
(718) 436-7979
(718) 436-0041
Mailing address
160 LAWRENCE AVE, CHILDREN'S PROGRAM, BROOKLYN, NY 11230-1103
(718) 436-7979
(718) 436-0041
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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