Individual
RUTH M GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1000 E AZTEC AVE, GALLUP, NM 87301-5509
(505) 721-1818
Mailing address
607 JULIE DR, GALLUP, NM 87301-4818
(505) 863-4237
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-1985
NM
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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