Individual
MRS. CASSANDRA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
1726 W RIO VISTA AVE, TAMPA, FL 33603
(813) 810-0692
Mailing address
1726 W RIO VISTA AVE, TAMPA, FL 33603-1119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW 6342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
679096896-67
—
FL
Enumeration date
03/06/2013
Last updated
04/03/2017
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