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Individual

GOMATHY S RANGANATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2414 LINWOOD DR, MISSOURI CITY, TX 77459-2907
(281) 403-9745
Mailing address
2414 LINWOOD DR, MISSOURI CITY, TX 77459-2907

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25840
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
147109604
TX
Enumeration date
03/20/2009
Last updated
02/12/2010
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