Individual
ELLEN TROXCLAIR GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 JAMESON PL, COVINGTON, LA 70433-6420
(985) 502-5016
Mailing address
1025 JAMESON PL, COVINGTON, LA 70433-6420
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3662
LA
Other
Enumeration date
05/19/2019
Last updated
05/19/2019
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