Individual
MELISSA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1815 LEGACY DR, FARIBAULT, MN 55021-1849
(507) 210-7304
Mailing address
1815 LEGACY DR, FARIBAULT, MN 55021-1849
(507) 210-7304
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
929416
MN
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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