Individual
MS. MAROLYN GONZAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1839 OHIO ST, FREMONT, NE 68025-2178
(402) 936-4540
Mailing address
748 E MILITARY AVE, FREMONT, NE 68025-5183
(402) 595-0231
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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