NPI | 1164980983 |
---|---|
Former Legal Business Name | ALEXANDRA GONZALEZ LCSW, LLC |
Entity Type | Organization |
Authorized Contact | ALEXANDRA GONZALEZ-KONOPACKI Owner 630-296-9566 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2019-03-11 |
Last Update Date | 2021-05-21 |