Individual
NICOLE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3616 S I 10 SERVICE RD W STE 100, METAIRIE, LA 70001-1874
(504) 838-5215
Mailing address
4244 POMMARD DR., KENNER, LA 70065-2439
(504) 388-0084
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10931
LA
Other
Enumeration date
10/27/2014
Last updated
10/02/2018
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