Lisa S Gonzenbach LLC

NPI #1861828519 in Northport, Alabama

Provider Information

NPI Number: 1861828519
Entity Type: Organization
Organization Name: Lisa S Gonzenbach LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 25, 2013
Last Updated: Jan 23, 2014

Practice Location

Address: 3600 WATERMELON RD
Address 2: SUITE 202
City: Northport
State: Alabama
ZIP Code: 35473-5169
Phone: (205) 750-0181

Authorized Official

Name: LISA GONZENBACH
Title: OWNER
Phone: (205) 750-0181

Specialties & Taxonomy Codes

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

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