Individual
WILLIAM JEFFREY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
17-07 ROMAINE ST, FAIR LAWN, NJ 07410-2150
(201) 797-2660
Mailing address
110 72ND ST # 2, NORTH BERGEN, NJ 07047-5802
(201) 304-1199
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06197800
NJ
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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