Provider Information for 1235519489
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Mr. RICHARD GONZALEZ MSW, LCSW
Sex: Male
NPI: 1235519489
Last Updated: 2020-07-11
Certification Date: 2020-07-11
Certification Date: 2020-07-11
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1235519489 | ||||||||
| Enumeration Date | 2015-06-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2335 TAMIAMI TRL N STE 202 NAPLES, FL 34103-4457 United States Phone: 239-601-6011 | Fax:239-353-6807 | ||||||||
| Primary Practice Address | 2335 TAMIAMI TRL N STE 202 NAPLES, FL 34103-4457 United States Phone: 239-601-6011 | Fax:239-353-6807 | ||||||||
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