Individual
BETH GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 S MAIN ST, LOMBARD, IL 60148-2670
(630) 527-3200
Mailing address
211 W 17TH ST, LOMBARD, IL 60148-6138
(630) 890-0404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149016851
IL
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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