Maggierose Gongwer

NPI #1003480211 in Concord, California

Provider Information

NPI Number: 1003480211
Entity Type: Individual
Name: Maggierose Gongwer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 13, 2021
Last Updated: May 13, 2021

Practice Location

Address: 1200 CONCORD AVE STE 100
City: Concord
State: California
ZIP Code: 94520-4969
Phone: (510) 832-4383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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