Individual
MR. FRED GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
1500 S ZARZAMORA ST STE 135, SAN ANTONIO, TX 78207-7224
(210) 223-4066
(210) 223-9377
Mailing address
9311 REGIMENT DR, SAN ANTONIO, TX 78240-2866
(210) 691-3244
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33688
TX
Other
Enumeration date
03/05/2007
Last updated
07/09/2007
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