Individual
MRS. JENNIFER GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-3303
Mailing address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
C-10738
NM
1041C0700X
Clinical Social Worker
Primary
C-10738
NM
Other
Enumeration date
07/08/2016
Last updated
10/01/2019
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