Individual
MARIE I GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4485 TENCH RD, SUITE 1221, SUWANEE, GA 30024-6739
(678) 862-3024
Mailing address
4485 TENCH ROAD, SUITE 1221, SUWANEE, GA 30024
(678) 862-3024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW004997
GA
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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