Individual
EDITH G GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
530 S MAIDEN LN, JOPLIN, MO 64801-3084
(417) 782-6200
(417) 782-6210
Mailing address
9634 COUNTY LANE 273, CARL JUNCTION, MO 64834-8110
(417) 483-4767
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2024029578
MO
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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