Individual
MARK CALEB GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
(505) 884-3004
Mailing address
10555 MONTGOMERY BLVD NE BLDG 2, ALBUQUERQUE, NM 87111-3857
(505) 503-7946
(505) 503-7947
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2024-0139
NM
Other
Enumeration date
05/13/2019
Last updated
10/02/2024
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