Individual
ANNABELLA KLOCKNER GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., C.A.G.S.
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR STE 3069, FAIRFAX, VA 22031-4511
(571) 423-4250
Mailing address
8270 WILLOW OAKS CORPORATE DR STE 3069, FAIRFAX, VA 22031-4511
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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