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1558072926
MODESTO GONZALEZ
GLENDALE, CA
NPI
1558072926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 80776)
Enumeration Date
2022-12-07
Last Update Date
2022-12-07
Business Address
Mr. MODESTO GONZALEZ ACSW
1121 E LOMITA AVE
GLENDALE, CA 91205-1331
Phone number: 559-560-6757
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Mailing Address
Mr. MODESTO GONZALEZ ACSW
15720 VENTURA BLVD
ENCINO, CA 91436-2914
Phone number: 818-927-0478
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