Organization
FREDERICO GONZALES JR
Active
Other names
Ayuda Case Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED GONZALES LBSW (CEO)
(210) 223-4066
Entity
Organization
Contact information
Practice address
1500 S ZARZAMORA ST STE 135, SAN ANTONIO, TX 78207-7224
(210) 223-4066
(210) 223-9377
Mailing address
1500 S ZARZAMORA ST STE 135, SAN ANTONIO, TX 78207-7224
(210) 223-4066
(210) 223-9377
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33688
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143351803
—
TX
Enumeration date
03/05/2007
Last updated
06/16/2008
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