Individual
STEPHANIE D GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
10120 IVEY CHASE LN, #616, CHARLOTTE, NC 28277-3340
(917) 331-2209
Mailing address
10120 IVEY CHASE LN, #616, CHARLOTTE, NC 28277-3340
(917) 331-2209
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/27/2010
Last updated
11/16/2012
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