Individual
ALICIA MARIE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
32 HERITAGE RD, DRACUT, MA 01826-4300
(978) 606-7109
Mailing address
32 HERITAGE RD, DRACUT, MA 01826-4300
(978) 606-7109
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113129
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113129
—
MA
Enumeration date
08/05/2018
Last updated
08/05/2018
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