Individual
MICHELLE YVONNE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
480 HOPE ST FL 1, PROVIDENCE, RI 02906-1631
(401) 601-8995
Mailing address
332 AQUEDUCT RD, CRANSTON, RI 02910-5203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
12743-C
NV
1041C0700X
Clinical Social Worker
224627
MA
1041C0700X
Clinical Social Worker
Primary
ISW03286
RI
Other
Enumeration date
04/15/2019
Last updated
12/01/2025
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