Individual
TINA M GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17461 ALLEN RD, MELVINDALE, MI 48122-1026
(313) 364-9042
Mailing address
15225 MORRIS AVE, ALLEN PARK, MI 48101-3525
(313) 737-9888
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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