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Individual

ALYSSA GOHATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
51 E CAMPBELL AVE STE 129-151, CAMPBELL, CA 95008-2047
(650) 564-4583
Mailing address
PO BOX 151, CAMPBELL, CA 95009-0151

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
126613
CA

Other

Enumeration date
03/07/2018
Last updated
11/07/2025
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