Individual
SELINA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
7 LONDON RD, BURLINGTON, NJ 08016-2972
(609) 614-7495
Mailing address
7 LONDON RD, BURLINGTON, NJ 08016-2972
(856) 308-6277
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07165000
NJ
106S00000X
Behavior Technician
RBT-20-110246
NJ
Other
Enumeration date
01/16/2020
Last updated
08/22/2024
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