Individual
MS. LAURENE M. GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.F.T.
Contact information
Practice address
3 SKYLINE DR, PROSPECT, CT 06712-1735
(203) 725-6776
(203) 725-6776
Mailing address
3 SKYLINE DR, PROSPECT, CT 06712-1735
(203) 725-6776
(203) 725-6776
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000855
CT
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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