Individual
MRS. CONNIE MARIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCC-SLP
Contact information
Practice address
127 CARTER ST, RICHMOND HILL, GA 31324-3753
(912) 756-6131
Mailing address
11053 E TRIPOLI AVE, MESA, AZ 85212-8562
(321) 228-6785
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10913
AZ
235Z00000X
Speech-Language Pathologist
SLP007167
GA
Other
Enumeration date
03/12/2013
Last updated
04/22/2021
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