Individual
MARTA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CHITTYVILLE RD, HERRIN, IL 62948-3552
(618) 498-0190
(618) 417-6049
Mailing address
307 S PLOVER DR, CARBONDALE, IL 62901-2029
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
Primary
2600068
IL
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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