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Individual

JACQUELINE GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6396 MCLEOD DR, SUITE #6-8, LAS VEGAS, NV 89120-4428
(702) 912-0600
(702) 912-0601
Mailing address
5370 BLACK ROCK WAY, LAS VEGAS, NV 89110-3703
(702) 574-4876

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
05/07/2015
Last updated
05/07/2015
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