Individual
CARLYE NICOLE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 WELLINGTON PL, JACKSONVILLE, NC 28546-8341
(910) 939-9986
(910) 939-1697
Mailing address
7235 BESTWICK AVE, CAMP LEJEUNE, NC 28547-4504
(901) 930-5300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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