Gonzalez, Mary Bernadette Rose

Gonzalez, Mary Bernadette Rose is an sole proprietor health care provider with primary practice located at 100 Nb Gratiot Ave Apt 101 , Mount Clemens MI 48043-2301. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gonzalez, Mary Bernadette Rose can be contacted via phone (586) 783-2950.

Contact Information

Primary practice address
100 Nb Gratiot Ave Apt 101 Mount Clemens MI 48043-2301
Phone: (586) 783-2950
Fax: (586) 690-4333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801095827 Michigan
Other Service Providers / Case Manager/Care Coordinator 171M00000X L2527655 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801114429 Michigan

Profile Details

NPI number 1982033320
LBN Legal business name Gonzalez, Mary Bernadette Rose
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2013
Last updated Apr 19th, 2022 - 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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