Individual
JUSTICE GOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 GARDEN ST, PAWTUCKET, RI 02860-3705
(774) 719-7824
Mailing address
1540 PONTIAC AVE, CRANSTON, RI 02920-4472
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW02957
RI
1041C0700X
Clinical Social Worker
LCSW228937
—
Other
Enumeration date
10/18/2022
Last updated
08/16/2023
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