Individual
BASILIA DAWN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 N WEST ST APT D, WEST JEFFERSON, OH 43162-1289
(614) 517-6508
Mailing address
51 N WEST ST APT D, WEST JEFFERSON, OH 43162-1289
(614) 517-6508
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
05/01/2020
Last updated
02/17/2023
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