Individual
SAMANTHA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
120 REPUBLICAN ST APT 409, SEATTLE, WA 98109-4749
(707) 718-6973
Mailing address
120 REPUBLICAN ST APT 409, SEATTLE, WA 98109-4749
(707) 718-6973
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60575776
WA
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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