Individual
MARCOS GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
2249 W IOWA ST APT 2F, CHICAGO, IL 60622-5221
(818) 900-3965
Mailing address
1440 W TAYLOR ST UNIT 1078, CHICAGO, IL 60607-4623
(818) 900-3965
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.113922
IL
1041C0700X
Clinical Social Worker
150.113922
IL
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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