Individual
CARLA DEANN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
406 ORCA RD, BROKEN BOW, OK 74728-6717
(405) 570-8004
Mailing address
406 ORCA RD, BROKEN BOW, OK 74728-6717
(405) 570-8004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
OK
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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