Individual
MRS. REBECCA RAE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
9070 HARMONY DR STE A, MIDWEST CITY, OK 73130-6257
(405) 455-5582
Mailing address
2929 COLONIAL LN, EDMOND, OK 73013-6477
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5289
OK
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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