Individual
LILLIAN CAROLINA GOMEZ GODINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 UNIVERSITY AVE, DES MOINES, IA 50314-2329
(515) 288-1981
Mailing address
1111 UNIVERSITY AVE, DES MOINES, IA 50314-2329
(515) 288-1981
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
118629
IA
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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