Individual
KEMBERLY LYNN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3810 DAPHINE DR, WILMINGTON, NC 28409-2846
(910) 617-8177
Mailing address
3810 DAPHINE DR, WILMINGTON, NC 28409-2846
(910) 617-8177
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8002
NC
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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