Individual
MISTY GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 BIEDE AVE, DEFIANCE, OH 43512-2408
(419) 782-8856
(419) 784-4506
Mailing address
403 OAKWOOD AVE APT D, BRYAN, OH 43506-1629
(419) 576-6624
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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