Individual
DRUSILLA GONIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
721 FAWCETT AVE, TACOMA, WA 98402-5502
(253) 327-3834
Mailing address
721 FAWCETT AVE, TACOMA, WA 98402-5502
(253) 383-3921
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
WA
171M00000X
Case Manager/Care Coordinator
Primary
1689146185
WA
Other
Enumeration date
12/20/2018
Last updated
01/14/2021
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