Ilse M Gomez-Avila, LCSW
NPI #1386030450 in Fort Lee, New Jersey
Provider Information
- NPI Number
- 1386030450
- Entity Type
- Individual
- Name
- Ilse M Gomez-Avila, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Apr 15, 2015
- Last Updated
- Apr 15, 2015
Practice Location
- Address
- 1450 WESTGATE DR
- City
- Fort Lee
- State
- New Jersey
- ZIP Code
- 07024-2171
- Phone
- (646) 246-7354
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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