Individual
MS. TERESA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
125 PAPAGO BLVD, WINSLOW, AZ 86047-2021
(928) 386-0450
Mailing address
125 PAPAGO BLVD, WINSLOW, AZ 86047-2021
(928) 386-0450
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
6867477
AZ
Other
Enumeration date
04/06/2007
Last updated
06/24/2015
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