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Individual

ELIZABETH B GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
2535 KETTNER BLVD, 1A4, SAN DIEGO, CA 92101-1250
(619) 615-0701
Mailing address
2535 KETTNER BLVD, 1A4, SAN DIEGO, CA 92101-1250
(619) 615-0701

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
171M00000X
Case Manager/Care Coordinator
CA

Other

Enumeration date
11/06/2010
Last updated
11/16/2016
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