Gonzalez, Kelly H

Gonzalez, Kelly H is an individual health care provider with primary practice located at 1061 Harmon Ave , Fort Stewart GA 31314-5641. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Gonzalez, Kelly H can be contacted via phone (912) 435-5313.

Contact Information

Primary practice address
1061 Harmon Ave Fort Stewart GA 31314-5641
Phone: (912) 435-5313
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LSW0000004347 Tennessee

Profile Details

NPI number 1902900699
LBN Legal business name Gonzalez, Kelly H
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated May 11th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902900699 NPPES
Other 4117927 MAGELLAN NAVIGATOR
Other 620582605 MAGELLAN NAVIGATOR
Other 620582605 MAGELLAN NAVIGATOR
Other 334969 MAGELLAN NAVIGATOR
Other 4117927 MAGELLAN NAVIGATOR
Other 4117927 MAGELLAN NAVIGATOR

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