Individual
LUIS BERNAL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
9627 PHILADELPHIA RD STE 160, ROSEDALE, MD 21237-4157
(410) 780-5203
(410) 780-5205
Mailing address
10002 SANDY RUN RD, MIDDLE RIVER, MD 21220-3062
(202) 271-6714
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22764
MD
Other
Enumeration date
04/13/2020
Last updated
04/14/2020
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