Individual
MR. JEAN C GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS. CCC-SLP
Contact information
Practice address
103 N PLAIN RD, JACKSONVILLE, NC 28546-6760
(910) 298-2331
Mailing address
110 BARNHOUSE RD, JACKSONVILLE, NC 28546-0077
(787) 607-0211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30003174
NC
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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