Individual
STELLA CHRISTINA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4001 OFFICE COURT DR STE 906, SANTA FE, NM 87507-4929
(505) 310-5654
Mailing address
PO BOX 449, TESUQUE, NM 87574-0449
(505) 983-6158
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2023-0955
NM
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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