Individual
CONNIE GOTTSCHALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 E CENTER ST, FALLON, NV 89406-3475
(775) 217-3174
Mailing address
40 E CENTER ST, FALLON, NV 89406-3475
(775) 217-3174
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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