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NPI Code Detail

MEDICARE: BRITTANY RAEL GOMEZ LCSW

MEDICARE: BRITTANY RAEL GOMEZ LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1356670111
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY RAEL GOMEZ LCSW
Provider Business Mailing Address
First Line : 6216 S LEWIS AVE STE 180
Second Line :
City : TULSA
State : OK
Zip : 74136-1077
Country : US
Telephone Number : 918-960-7852
Fax Number : 539-664-5738
Provider Business Practice Location Address
First Line : 6216 S LEWIS AVE STE 180
Second Line :
City : TULSA
State : OK
Zip : 74136-1077
Country : US
Telephone Number : 918-960-7852
Fax Number : 539-664-5738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2009
Last Update Date : 08/05/2024

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Directions to “ BRITTANY RAEL GOMEZ LCSW” Practice Location

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