Individual
BRANDI ELIZABETH GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 W 21ST ST, CLOVIS, NM 88101-4151
(575) 769-2345
Mailing address
1009 N MAIN ST, CLOVIS, NM 88101-5932
(575) 769-4490
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
389699
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/08/2019
Last updated
03/04/2024
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