Individual
MRS. EMANUELLE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
233 4TH ST, ASHLAND, OR 97520-2043
(541) 301-7414
Mailing address
PO BOX 503010, WHITE CITY, OR 97503-0813
(541) 301-7414
(503) 419-4662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4432
OR
Other
Enumeration date
11/10/2009
Last updated
12/20/2022
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