Miriam Lucero Gomez Tello, ASW
Miriam Lucero Gomez Tello, ASW is a Clinical Social Worker in Reseda, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
17922 Keswick StReseda, CA 91335-2156
Phone: (213) 377-6584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 85311 (CA) |
|---|
Record details
| NPI number | 1609541929 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | ASW |
| Sole proprietor | No |
| NPI enumerated | August 9, 2021 |
| Last updated in NPPES | August 9, 2021 |
| Certification date | August 9, 2021 |
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