Individual
MICHELE MARIE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
247 W MAIN ST, HENDERSONVILLE, TN 37075-7320
(615) 314-3292
Mailing address
2406 N HILLCREST DR, SPRINGFIELD, TN 37172-3912
(615) 812-5010
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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