Individual
LESLIE TAMARA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3002 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8088
Mailing address
38569 N SHERIDAN RD LOT 488, BEACH PARK, IL 60099-3952
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150115658
IL
Other
Enumeration date
12/26/2025
Last updated
12/26/2025
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