Individual
CHANTELLE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
523 W SHERIDAN AVE, SHENANDOAH, IA 51601-1705
(712) 246-0159
Mailing address
523 W SHERIDAN AVE, SHENANDOAH, IA 51601-1705
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
123583
IA
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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