Individual
NICOLE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
312 COURT ST, VILLE PLATTE, LA 70586-5248
(337) 363-5525
Mailing address
312 COURT ST, VILLE PLATTE, LA 70586-5248
(337) 363-5525
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5767
LA
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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