Individual
NICOLE MARIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
30 CALLE CARITE, URBANIZACION LAGO ALTO, TRUJILLO ALTO, PR 00976
(787) 748-0450
(787) 748-4815
Mailing address
30 CALLE CARITE, URBANIZACION LAGO ALTO, TRUJILLO ALTO, PR 00976
(787) 748-0450
(787) 748-4815
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23398
PR
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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