Individual
LAUREN GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4201 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4808
(505) 220-6633
(505) 220-6633
Mailing address
12212 PALM SPRINGS CT NE, ALBUQUERQUE, NM 87111-5423
(505) 220-6633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-11045
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
NM
Enumeration date
11/01/2017
Last updated
12/13/2024
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