Miriam Lucero Gomez Tello, ASW
NPI #1609541929 in Reseda, California
Provider Information
- NPI Number
- 1609541929
- Entity Type
- Individual
- Name
- Miriam Lucero Gomez Tello, ASW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- ASW
- Enumeration Date
- Aug 9, 2021
- Last Updated
- Aug 9, 2021
Practice Location
- Address
- 17922 KESWICK ST
- City
- Reseda
- State
- California
- ZIP Code
- 91335-2156
- Phone
- (213) 377-6584
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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