MRS. Tara-Marie Gonzalez, LCSWR

NPI #1023090917 in Hewlett, New York

Provider Information

NPI Number: 1023090917
Entity Type: Individual
Name: MRS. Tara-Marie Gonzalez, LCSWR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSWR
Enumeration Date: Nov 16, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1234 W BROADWAY
Address 2: SUITE #4
City: Hewlett
State: New York
ZIP Code: 11557-1929
Phone: (516) 426-9672

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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