Santos Gonzales
Social Worker, Clinical in Council Bluffs, IA. Individual provider (NPI-1).
NPI number1669997474
StatusActive
Last updated in NPPESAug 14, 2017
Details
- NPI
- 1669997474
- Entity type
- Individual (NPI-1)
- Name
- Santos Gonzales
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2017
- Last updated
- Aug 14, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 087882 | IA | Yes |
Practice location
515 E BroadwayCouncil Bluffs, IA 51503-4419
Phone 712-322-5615
Mailing address
515 E BroadwayCouncil Bluffs, IA 51503-4419
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