Individual
YESSICA NAYELI LAWSON GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 WATERFALL DR, ELKHART, IN 46516-3668
(574) 222-6514
Mailing address
50832 ACORN TRL, ELKHART, IN 46514-7730
(574) 222-6514
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33010019
IN
104100000X
Social Worker
33010019A
IN
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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