Individual
CARL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2001 CLAFLIN RD, MANHATTAN, KS 66502-3415
(307) 632-9362
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 632-9362
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12969
KS
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/12/2015
Last updated
04/03/2023
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