Individual
IRIS SHAKIRA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
56 CALLE MANUEL CRUZ, HUMACAO, PR 00791-3627
(787) 380-8162
Mailing address
56 CALLE MANUEL CRUZ, HUMACAO, PR 00791-3627
(787) 380-8162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15304
PR
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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