Katherine Gonzales, LMSW, QIDP

NPI #1134510415 in Wyoming, Michigan

Provider Information

NPI Number: 1134510415
Entity Type: Individual
Name: Katherine Gonzales, LMSW, QIDP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW, QIDP
Enumeration Date: Feb 9, 2015
Last Updated: Oct 15, 2018

Practice Location

Address: 3353 LOUSMA DR SE
City: Wyoming
State: Michigan
ZIP Code: 49548-2251
Phone: (616) 241-6258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Social Worker	104100000X	Primary

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