Individual
MRS. JENNIFER S. GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1205 19TH AVE, MILTON, WA 98354-9189
(253) 517-1200
Mailing address
PO BOX 3253, FEDERAL WAY, WA 98063-3253
(775) 830-8874
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09148767
NV
235Z00000X
Speech-Language Pathologist
60388930
WA
235Z00000X
Speech-Language Pathologist
SP-778
NV
Other
Enumeration date
02/27/2012
Last updated
01/19/2024
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