Individual
PRISCILLA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
795 WOODLANE ROAD, SUITE 301, MOUNT HOLLY, NJ 08060
(609) 267-1550
Mailing address
795 WOODLANE RD, MOUNT HOLLY, NJ 08060-3832
(609) 267-1550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00474900
NJ
Other
Enumeration date
06/12/2020
Last updated
09/28/2020
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