Georgana Marie Gonzalez, MSW, LCSW
Social Worker, Clinical in Springville, UT. Individual provider (NPI-1).
NPI number1164071841
StatusActive
Last updated in NPPESSep 28, 2023
Details
- NPI
- 1164071841
- Entity type
- Individual (NPI-1)
- Name
- Georgana Marie Gonzalez
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2019
- Certification date
- Sep 28, 2023
- Last updated
- Sep 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 12324077-3501 | UT | Yes |
Practice location
376 E 400 S Ste 4Springville, UT 84663-1987
Phone 385-364-0202
Mailing address
956 W 900 SSpringville, UT 84663-5526
Phone 785-418-5951
Other practice locations
42 E 300 N
Spanish Fork, UT 84660-1859
Spanish Fork, UT 84660-1859
Phone 801-896-1961
1841 N 1120 W
Provo, UT 84604-1180
Provo, UT 84604-1180
Phone 801-224-8138
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