Individual
MS. INGRID E. GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW, SAC-IT
Contact information
Practice address
2625 N WEIL ST, MILWAUKEE, WI 53212-3060
(414) 962-1200
(414) 962-2305
Mailing address
2625 N WEIL ST, MILWAUKEE, WI 53212-3060
(414) 962-1200
(414) 962-2305
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
15576-130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127821-121
APSW
WI
01
—
15576-130
SAC-IT
WI
Enumeration date
08/12/2010
Last updated
08/12/2010
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