Individual
ELISSA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 SCHOOL HOUSE CREEK DR, SAINT MARYS, GA 31558-1805
(912) 409-7561
(912) 673-0178
Mailing address
221 SCHOOL HOUSE CREEK DR, SAINT MARYS, GA 31558-1805
(912) 409-7561
(912) 673-0178
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/14/2013
Last updated
07/28/2014
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