Individual
ANNE MARIE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-1399
Mailing address
8821 N 144TH EAST AVE, OWASSO, OK 74055-2625
(316) 209-7126
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6325
OK
Other
Enumeration date
09/01/2017
Last updated
01/04/2023
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