Individual
ESTEFFANY GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 W CAMPBELL AVE STE 201, CAMPBELL, CA 95008
(408) 871-4900
Mailing address
1600 W CAMPBELL AVE STE 201, CAMPBELL, CA 95008-1526
(408) 871-4900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112809
CA
1041C0700X
Clinical Social Worker
112809
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/28/2018
Last updated
09/30/2024
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