AMANDA JO GONZALEZ

FORT WAYNE, IN
NPI1225567480
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: IN  34007818A)
Enumeration Date2017-06-09
Last Update Date2017-06-09
Business Address
MS. AMANDA JO GONZALEZ LCSW
230 W MAIN ST
FORT WAYNE, IN 46802-1612
Phone number: 260-203-9185
Mailing Address
MS. AMANDA JO GONZALEZ LCSW
126 W COLUMBIA ST
FORT WAYNE, IN 46802-1719
Phone number: 260-203-9185