Individual
GINA R SHONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
767 FREDORIS ROAD, STONEBORO, PA 16153
(724) 988-9972
Mailing address
757 FREDORIS ROAD, STONEBORO, PA 16153
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL006195L
PA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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