Individual
HOLLY FOREMAN GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, ASW
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
118345
CA
Other
Enumeration date
09/01/2022
Last updated
06/05/2025
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