Individual
MISS JELISA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
225 N MAIN ST STE 80, BRISTOL, CT 06010-4926
(860) 506-7905
Mailing address
70 RIMMON HILL RD, BEACON FALLS, CT 06403-1028
(203) 554-4212
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8202
CT
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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