Individual
MS. JESSICA LYNN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 484-1836
Mailing address
420 N JAMES RD, COLUMBUS, OH 43219-1834
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SV1302504
OH
Other
Enumeration date
08/19/2013
Last updated
10/27/2014
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