Individual
DAISY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
671 S LEWIS AVE, WAUKEGAN, IL 60085-6101
(847) 782-4233
Mailing address
671 S LEWIS AVE, WAUKEGAN, IL 60085-6101
(847) 782-4233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.025505
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
09/06/2017
Last updated
05/03/2023
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