Individual
MS. VIRGINIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4602 W INDIAN SCHOOL RD, SUITES C-3,C-4, AND D-2, PHOENIX, AZ 85031-2838
(623) 247-0464
Mailing address
1046 E BUCKEYE RD, PHOENIX, AZ 85034-4041
(602) 254-4827
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6754002
AZ
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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