Individual
CLARA JENNESSY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2555 OCEAN AVE # 206, BROOKLYN, NY 11229-4585
(718) 540-2124
(718) 540-2143
Mailing address
2555 OCEAN AVE # 206, BROOKLYN, NY 11229-4585
(718) 540-2124
(718) 540-2143
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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