Provider Demographics
NPI:1346424108
Name:GONZALEZ BOGRAN, SYLVIA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:
Last Name:GONZALEZ BOGRAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5719 HEATHER VW
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3100
Mailing Address - Country:US
Mailing Address - Phone:210-844-4562
Mailing Address - Fax:210-733-7889
Practice Address - Street 1:5719 HEATHER VW
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3100
Practice Address - Country:US
Practice Address - Phone:210-844-4562
Practice Address - Fax:210-733-7889
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator