Individual
MS. MARION KUENZLE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
286 W STEVENS AVE, WYCKOFF, NJ 07481-2416
(201) 788-7542
Mailing address
286 WEST STEVENS AVENUE, WYCKOFF, NJ 07481
(201) 788-7542
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00565600
NJ
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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