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Kemberly Lynn Gonzalez, CCC-SLP

Speech-Language Pathologist, in Wilmington, NC. Individual provider (NPI-1).

NPI number1982002804
StatusActive
Last updated in NPPESDec 9, 2014

Details

NPI
1982002804
Entity type
Individual (NPI-1)
Name
Kemberly Lynn Gonzalez
Credential
CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 9, 2014
Last updated
Dec 9, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,8002NCYes

Practice location

3810 Daphine Dr
Wilmington, NC 28409-2846

Phone 910-617-8177

Mailing address

3810 Daphine Dr
Wilmington, NC 28409-2846

Phone 910-617-8177

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