Gomez, Stefanie
Gomez, Stefanie is an individual health care provider with primary practice located at 10 Milland Dr Apt B8 , Mill Valley CA 94941-6101. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gomez, Stefanie can be contacted via phone (813) 442-1012.Contact Information
Primary practice address
10 Milland Dr Apt B8
Mill Valley CA 94941-6101
Phone: (813) 442-1012
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 76321 | California |
Profile Details
| NPI number | 1629796867 |
|---|---|
| LBN Legal business name | Gomez, Stefanie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2022 |
| Last updated | Aug 15th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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