Austin Renee Gonzalez, LMSW

NPI #1619258084 in Grand Rapids, Michigan

Provider Information

NPI Number: 1619258084
Entity Type: Individual
Name: Austin Renee Gonzalez, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Aug 30, 2011
Last Updated: Apr 2, 2015

Practice Location

Address: 901 EASTERN AVE NE
City: Grand Rapids
State: Michigan
ZIP Code: 49503-1201
Phone: (616) 204-2032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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