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Contact Information

MAYRA GONZALEZ, LCSW
302 N MIDWAY DR
ESCONDIDO, CA92027-2708
 Phone: 760-291-3291
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

1041S0200X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MAYRA GONZALEZ · (Female)

NPI Number 1568711232
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 09/10/2012
Last updated 06/27/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • CA License # 100826
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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