Individual
MISS LUCIANA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAPSW
Contact information
Practice address
1212 S 70TH ST, MILWAUKEE, WI 53214-3105
(414) 902-1534
(414) 771-7497
Mailing address
1212 S. 70TH STREET, MILWAUKEE, WI 53207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
127583-121
WI
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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