Individual
ALICIA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A., Q.I.D.P.
Contact information
Practice address
805 LEONARD ST NE, GRAND RAPIDS, MI 49503-1138
(616) 930-7488
(616) 774-1001
Mailing address
805 LEONARD ST NE, GRAND RAPIDS, MI 49503-1138
(616) 930-7488
(616) 774-1001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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