Individual
CHANELLE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1035 POST RD, WARWICK, RI 02888-3363
(401) 785-0040
Mailing address
38 CHESTER AVE, PROVIDENCE, RI 02905-2300
(401) 215-4308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW03317
RI
1041C0700X
Clinical Social Worker
—
RI
Other
Enumeration date
04/24/2023
Last updated
06/22/2023
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