ANDREA X GOMEZ

CHOCTAW, OK
NPI1598848202
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  334)
Enumeration Date2006-10-24
Last Update Date2007-07-09
Business Address
Miss ANDREA X GOMEZ LADC
14625 NE 23RD ST.
CHOCTAW, OK 73020-0695
Phone number: 405-390-8131
Mailing Address
Miss ANDREA X GOMEZ LADC
PO BOX 695
CHOCTAW, OK 73020-0695
Phone number: 405-390-8131
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