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Individual

TIM GOMERSALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.E.P.

Contact information

Practice address
525 2ND ST, EUREKA, CA 95501-5107
(707) 407-7475
(707) 441-1913
Mailing address
PO BOX 6131, EUREKA, CA 95502-6131
(707) 407-7475
(707) 441-1913

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LEP 2754
CA

Other

Enumeration date
05/01/2012
Last updated
05/01/2012
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