Individual
GRACE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 MAIN AVE S STE 111, NORTH BEND, WA 98045-8139
(425) 888-3347
Mailing address
4505 42ND AVE SW UNIT 203, SEATTLE, WA 98116-4691
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
10/22/2018
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