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Individual
JESSICA ROMO GUTIERREZ
Active
Individual
JESSICA ROMO GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
141645
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96058992A46053
MEDICAL
CA
Enumeration date
08/02/2016
Last updated
09/03/2026
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