Individual
MRS. GJENIKWA D GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1407 PROSPECT AVE SE, GRAND RAPIDS, MI 49507-1707
(616) 217-7679
Mailing address
1407 PROSPECT AVE SE, GRAND RAPIDS, MI 49507-1707
(616) 217-7679
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MI
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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