Doctor Name: | MS. ROSALIND W GUMAER |
NPI Number: | 1023235595 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW 1-08197 |
License Number: | LISW 1-08197 |
Business Practice Address: | 1011 Allen St Estancia, NM - 870160518 |
Business Phone Number: | 5053840220 |
Business Fax Number: | 5053840222 |
Mailing Address: | 282 S Camino Del Pueblo, Suite 2c BERNALILLO |
State: | NM |
Postal Code: | 870045909 |
Phone Number: | 5052883893 |
Fax Number: | 5052883636 |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 04/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LISW 1-08197 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |