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Organization

FAMILY COMMUNITY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN GOMEZ LCSW (PRESIDENT)
(210) 805-0915
Entity
Organization

Contact information

Practice address
1803 W GRAMERCY PL, STE 150, SAN ANTONIO, TX 78201-4968
(210) 805-0915
(210) 805-8205
Mailing address
1803 W GRAMERCY PL, STE 150, SAN ANTONIO, TX 78201-4968
(210) 805-0915
(210) 805-8205

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33277
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
155601103
TX
Enumeration date
11/17/2006
Last updated
05/18/2009
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