Individual
GINA BERNICE VIDES GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E VINE ST STE A, SALISBURY, MD 21804-5531
(410) 543-7119
Mailing address
200 E VINE ST STE A, SALISBURY, MD 21804-5531
(410) 543-7119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28046
MD
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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