Individual
LISET MARILEISI GONZALEZ FAMILIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
227 PROSPECT ST # 1, LAWRENCE, MA 01841-2831
(646) 919-3408
Mailing address
227 PROSPECT ST APT 1, LAWRENCE, MA 01841-2831
(646) 919-3408
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
05/08/2026
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