Gonzales Lcsw LLC

NPI #1164984456 in Genola, Utah

Provider Information

NPI Number: 1164984456
Entity Type: Organization
Organization Name: Gonzales Lcsw LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 4, 2019
Last Updated: Apr 4, 2019

Practice Location

Address: 61 E 1600 N
City: Genola
State: Utah
ZIP Code: 84655-5090
Phone: (385) 434-1274

Authorized Official

Name: MORGAN GONZALES, LCSW
Title: OWNER
Phone: (385) 434-1274

Specialties & Taxonomy Codes

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

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