Individual
ILEANA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1601 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-3669
(305) 243-3155
Mailing address
11440 N KENDALL DR STE 109, MIAMI, FL 33176-1024
(305) 243-3669
(305) 243-3155
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
05/17/2022
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