Individual
DAMARIS GOMEZ-GLILIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7921 CHESTERFIELD DR S, SOUTHAVEN, MS 38671-6202
(901) 563-5091
Mailing address
7701 HIGWAY 51 NORTH, SOUTHAVEN, MS 38671
(901) 653-5091
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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