Individual
AMANDA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 S SPRING ST, TUPELO, MS 38804-4853
(662) 205-0098
Mailing address
PO BOX 68, TUPELO, MS 38802-0068
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M11544
MS
Other
Enumeration date
10/07/2025
Last updated
01/02/2026
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