Individual
MANUELA ROA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, SWC
Contact information
Practice address
698 BRIGG ST, ERIE, CO 80516
(510) 520-7044
Mailing address
202 MONTGOMERY DR, ERIE, CO 80516-8480
(510) 520-7044
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWC.0000001198
CO
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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