Individual
GEORGANA MARIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
376 E 400 S STE 4, SPRINGVILLE, UT 84663-1987
(385) 364-0202
Mailing address
956 W 900 S, SPRINGVILLE, UT 84663-5526
(785) 418-5951
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12324077-3501
UT
Other
Enumeration date
09/05/2019
Last updated
09/28/2023
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