Individual
CONNIE TERESA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 S 333RD ST, FEDERAL WAY, WA 98003-7357
(206) 388-0544
Mailing address
PO BOX 98262, DES MOINES, WA 98198-0262
(206) 304-7752
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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