Individual
ERICA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 MAIN AVE S, NORTH BEND, WA 98045-8139
(425) 888-3347
Mailing address
4423 CORLISS AVE N, APT 4, SEATTLE, WA 98103-7667
(360) 773-7094
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPI.SI.60516964
WA
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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