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Brenda Gonzalez

Social Worker, Clinical in Gardena, CA. Individual provider (NPI-1).

NPI number1164028973
StatusActive
Last updated in NPPESMay 12, 2025

Details

NPI
1164028973
Entity type
Individual (NPI-1)
Name
Brenda Gonzalez
Sex
Female
Sole proprietor
No
Enumeration date
Dec 7, 2020
Certification date
May 12, 2025
Last updated
May 12, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes
225400000X Rehabilitation Practitioner––
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

108 W Victoria St
Gardena, CA 90248-3523

Phone 310-715-2020

Mailing address

108 W Victoria St
Gardena, CA 90248-3523

Phone 310-715-2020

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