Individual
GISELL AMBRIZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 ELLIS ST, PETALUMA, CA 94952-3305
(707) 774-3146
Mailing address
670 7TH ST APT 501, SANTA ROSA, CA 95404-4285
(707) 774-3146
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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