Individual
AMBER GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1901 W WESTERN AVE STE B, SOUTH BEND, IN 46619-3570
(574) 234-9033
(574) 847-7200
Mailing address
8003 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1946
(317) 576-1335
(317) 343-6562
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34011088A
IN
Other
Enumeration date
06/29/2022
Last updated
06/07/2024
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