MS. Laura Lisa Gonzalez, M.A

NPI #1770199507 in Davison, Michigan

Provider Information

NPI Number
1770199507
Entity Type
Individual
Name
MS. Laura Lisa Gonzalez, M.A
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Credential
M.A
Enumeration Date
Sep 17, 2020
Last Updated
Sep 17, 2020

Practice Location

Address
7134 BLANKENSHIP CIR
ZIP Code
48423-2317
Phone
(810) 742-7713

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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