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1104462647
JOSE RAPHAEL GONZALEZ
FORT LAUDERDALE, FL
NPI
1104462647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH13471)
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
Dr. JOSE RAPHAEL GONZALEZ Psy.D.
1848 SE 1ST AVE
FORT LAUDERDALE, FL 33316-2875
Phone number: 954-885-9500
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Mailing Address
Dr. JOSE RAPHAEL GONZALEZ Psy.D.
3400 SW 108TH AVE
MIAMI, FL 33165-3510
Phone number: 305-218-2425
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