Individual
ELISA ELENA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 N PIEDRAS ST, EL PASO, TX 79903-4015
(915) 564-6100
Mailing address
5519 GROVE DR, SUNLAND PARK, NM 88063-9594
(915) 253-0958
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
59017
TX
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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