Individual
BRENDA MELISSA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
10929 SOUTH ST, CERRITOS, CA 90703-5340
(562) 484-1131
Mailing address
10929 SOUTH ST, CERRITOS, CA 90703-5340
(562) 484-1131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW71700
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASW71700
—
CA
Enumeration date
06/28/2016
Last updated
12/03/2021
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