Provider Information for 1801256979
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ALEJANDRA A GONZALEZ RODRIGUEZ LMFT
Sex: Female
NPI: 1801256979
Last Updated: 2021-08-06
Certification Date: 2021-08-06
Certification Date: 2021-08-06
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1801256979 | ||||||||||||
| Enumeration Date | 2016-03-02 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 626 LANGDON ST APT 702 MADISON, WI 53703-1115 United States Phone: 773-242-0116 | Fax: | ||||||||||||
| Primary Practice Address | 626 LANGDON ST APT 702 MADISON, WI 53703-1115 United States Phone: 773-242-0116 | Fax: | ||||||||||||
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