Individual
DENISE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 W FULLERTON AVE, CHICAGO, IL 60647-2319
(773) 782-2800
(773) 782-5042
Mailing address
3600 W FULLERTON AVE, CHICAGO, IL 60647-2319
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/21/2014
Last updated
04/08/2022
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