Individual
KACEY GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 MARBLE AVE NE BLDG A, ALBUQUERQUE, NM 87106-2058
(505) 272-8400
Mailing address
933 BRADBURY DR SE, ALBUQUERQUE, NM 87106-4374
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2024-0222
NM
171M00000X
Case Manager/Care Coordinator
—
NM
Other
Enumeration date
07/16/2015
Last updated
07/11/2025
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