Individual
GLORIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 BOSWELL ST, COLLEGE STATION, TX 77840-4308
(979) 764-5580
Mailing address
1812 WELSH AVE, COLLEGE STATION, TX 77840-4800
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
42382
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42382
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
08/11/2022
Last updated
08/11/2022
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