Individual
ANGELA LYNN GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
US-101, SOLEDAD, CA 93960
(831) 678-3951
Mailing address
5100 COE AVE SPC 57, SEASIDE, CA 93955-6817
(831) 915-4218
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW118219
CA
Other
Enumeration date
08/17/2022
Last updated
04/25/2024
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