MISS Gemma Lara De Blas Williams, LCSW

NPI #1124218409 in Fountain Valley, California

Provider Information

NPI Number: 1124218409
Entity Type: Individual
Name: MISS Gemma Lara De Blas Williams, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 1, 2007
Last Updated: Aug 2, 2011

Practice Location

Address: 17350 MOUNT HERRMANN ST
Address 2: SUITE A
City: Fountain Valley
State: California
ZIP Code: 92708-4114
Phone: (714) 444-3463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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