Individual
MRS. GEMIMA FOGACA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 TYLER ST, SOMERVILLE, MA 02143-3241
(339) 216-7211
Mailing address
12 TYLER ST, SOMERVILLE, MA 02143-3241
(339) 216-7211
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MA
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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