MEDICARE: DALYS KARIN GONZALEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1083494371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DALYS KARIN GONZALEZ

Provider Business Mailing Address
First Line	:	14885 MYSTIC LAKE CIR APT 5103
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-6771
Country	:	US
Telephone Number	:	787-639-2538
Fax Number	:

Provider Business Practice Location Address
First Line	:	14885 MYSTIC LAKE CIR APT 5103
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-6771
Country	:	US
Telephone Number	:	787-639-2538
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2023
Last Update Date	:	10/03/2023

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Directions to “ DALYS KARIN GONZALEZ ” Practice Location

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