Individual
STEPHANIE A. GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 WILIKONA PL, WAILUKU, HI 96793-9338
(808) 646-0325
Mailing address
75 WILIKONA PL, WAILUKU, HI 96793-9338
(808) 646-0325
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
4557
HI
Other
Enumeration date
10/20/2016
Last updated
06/13/2020
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