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Organization
JESSICA R. GONZALEZ, M.S., CCC-SLP, PLLC
Active
Organization
JESSICA R. GONZALEZ, M.S., CCC-SLP, PLLC
Active
Other names
Therapy Works, Speech Therapy Works
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA R GONZALEZ MS, CCC-SLP (SOLE MEMBER)
(956) 735-9133
Entity
Organization
Contact information
Practice address
410 W 2ND ST, RIO GRANDE CITY, TX 78582-3608
(956) 735-9133
(956) 263-1139
Mailing address
1328 W BLUE BONNET ST, RIO GRANDE CITY, TX 78582-4214
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811273154
INDIVIDUAL NPI
TX
05
—
287306901
—
TX
Enumeration date
01/09/2019
Last updated
01/09/2019
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