Individual
MRS. DORA IDALIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1101 CAMINO LA COSTA, AUSTIN, TX 78752-3930
(512) 478-4939
(512) 708-3184
Mailing address
1101 CAMINO LA COSTA, AUSTIN, TX 78752-3930
(512) 478-4939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
69501
TX
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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