Individual
JESSICA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
68 ANNUCIATION ROAD, ROXBURY, MA 02120-1808
(857) 318-1921
Mailing address
68 ANNUCIATION ROAD, ROXBURY, MA 02120-1808
(857) 318-1921
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MA
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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