Organization
GONZALES LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN GONZALES LCSW (OWNER)
(385) 434-1274
Entity
Organization
Contact information
Practice address
61 E 1600 N, GENOLA, UT 84655-5090
(385) 434-1274
Mailing address
61 E 1600 N, GENOLA, UT 84655-5090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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