Individual
CAROLINA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 PICKENS ST, COLUMBIA, SC 29201-3430
(803) 771-4160
(803) 771-4367
Mailing address
PO BOX 3788, COLUMBIA, SC 29230-3788
(803) 733-5969
(803) 753-5591
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10622
SC
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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