Individual
YANITZA L GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 276-4100
Mailing address
3 1/2 BALTIMORE ST APT 2, PROVIDENCE, RI 02909-5666
(401) 261-7265
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
CSW02811
RI
Other
Enumeration date
04/11/2022
Last updated
08/31/2022
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