Individual
MRS. JENNIFER LYNN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1507
Mailing address
4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1507
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150011429
IL
Other
Enumeration date
08/01/2013
Last updated
05/11/2026
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