Individual
HUGO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1070 MAIN ST, PAWTUCKET, RI 02860-4847
(401) 727-6400
Mailing address
528 N MAIN ST, SUITE # 4, PROVIDENCE, RI 02904-5757
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW00497
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HG29643
—
RI
Enumeration date
09/01/2006
Last updated
07/08/2008
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