Individual
SAMANTHA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 COLLEGE AVE, SOUTH MILWAUKEE, WI 53172-1150
(626) 808-6023
Mailing address
1333 COLLEGE AVE, SOUTH MILWAUKEE, WI 53172-1150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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