Individual
MRS. OMALI GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
2814 S US HIGHWAY 1 STE D4, FORT PIERCE, FL 34982-8110
(772) 489-4726
Mailing address
2814 S US HIGHWAY 1 STE D4, FORT PIERCE, FL 34982-8110
(772) 489-4726
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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