George Gamon, CPSW

NPI #1417591116 in Anthony, New Mexico

Provider Information

NPI Number: 1417591116
Entity Type: Individual
Name: George Gamon, CPSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: CPSW
Enumeration Date: Nov 5, 2019
Last Updated: Feb 12, 2021

Practice Location

Address: 224 ANTHONY DR STE B
City: Anthony
State: New Mexico
ZIP Code: 88021-9366
Phone: (585) 619-0485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Peer Specialist	175T00000X	Primary

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