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1023132958
BRUCE EVARISTO GOMEZ
CHICAGO, IL
NPI
1023132958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149008080)
Enumeration Date
2007-03-17
Last Update Date
2007-07-08
Business Address
Mr. BRUCE EVARISTO GOMEZ L.C.S.W.
5910 N VIRGINIA AVE
CHICAGO, IL 60659-3723
Phone number: 847-475-0935
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Mailing Address
Mr. BRUCE EVARISTO GOMEZ L.C.S.W.
1410 WASHINGTON ST
EVANSTON, IL 60202-1682
Phone number: 847-475-0935
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