Individual
LOURDES GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
11 SYCAMORE ST, WORCESTER, MA 01608-2213
(508) 798-1900
(508) 798-1914
Mailing address
11 SYCAMORE ST, WORCESTER, MA 01608-2213
(508) 798-1900
(508) 798-1914
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11423
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11423
MSW
PR
Enumeration date
01/25/2016
Last updated
01/25/2016
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