Individual
TERRI E GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
401 HIGH ST, LORDSBURG, NM 88045-1713
(575) 542-9361
Mailing address
401 HIGH ST, LORDSBURG, NM 88045-1713
(575) 542-9361
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2023-0203
NM
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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