Individual
ISAIAH XAVIER GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
330 N 16TH AVE, PHOENIX, AZ 85007-2443
(480) 267-0320
Mailing address
3955 W READE AVE, PHOENIX, AZ 85019-2895
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-22462
AZ
Other
Enumeration date
11/01/2024
Last updated
12/31/2024
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