Individual
CARSON MCRAE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
241 DOMINICA CIR W, NICEVILLE, FL 32578-4069
(336) 707-3607
Mailing address
241 DOMINICA CIR W, NICEVILLE, FL 32578-4069
(336) 707-3607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C009852
NC
Other
Enumeration date
09/09/2013
Last updated
11/08/2024
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