Individual
DESERAE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3851 ROGER BROOKE DR, BAMC MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-4501
(770) 357-2400
(678) 547-3163
Mailing address
3851 ROGER BROOKE DR, BAMC MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-4501
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
57097
TX
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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