Individual
VICTORIA ANN GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
225 E IDAHO AVE STE 30, LAS CRUCES, NM 88005-3242
(575) 640-1236
Mailing address
PO BOX 2314, LAS CRUCES, NM 88004-2314
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2022-0421
NM
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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