Mr. Dereck Hugh Gonzalez, CSW
Mr. Dereck Hugh Gonzalez, CSW is a Clinical Social Worker in Provo, Utah. Licensed in Utah. Registered with an NPI since 2021.
- Licensed in
- UT
- In the registry since
- 2021
Practice location Address checks out
34 S 300 EProvo, UT 84606-3201
Phone: (801) 850-9147
Fax: (435) 578-0700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 12883692-3502 (UT) |
|---|
Record details
| NPI number | 1689248205 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CSW |
| Sole proprietor | No |
| NPI enumerated | May 18, 2021 |
| Last updated in NPPES | October 20, 2022 |
| Certification date | October 20, 2022 |
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