MS. Laura Lisa Gonzalez, MA

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1770199507

MS. Laura Lisa Gonzalez, MA is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Davison, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in: MI
In the registry since: 2020

What do these letters mean?

MA — Master of Arts: A graduate arts degree.

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Practice location Address checks out

7134 Blankenship Cir
Davison, MI 48423-2317
Phone: (810) 742-7713
Fax: (810) 407-9198

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary)	Taxonomy 320600000X · Licence AS25.293461 (MI)

Record details

NPI number	1770199507
Entity type	Individual (Type 1)
Gender	Female
Credentials	MA
Sole proprietor	Yes
NPI enumerated	September 17, 2020
Last updated in NPPES	September 17, 2020
Certification date	September 17, 2020