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Individual

WINDY MARIE GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-2655
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103394
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103394
LICENSED MASTER SOCIAL WORKER
TX
Enumeration date
10/28/2021
Last updated
10/28/2021
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