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Tanisha Shante Gomes

Case Manager/Care Coordinator in Northampton, MA. Individual provider (NPI-1).

NPI number1740938331
StatusActive
Last updated in NPPESMar 14, 2022

Details

NPI
1740938331
Entity type
Individual (NPI-1)
Name
Tanisha Shante Gomes
Sex
Female
Sole proprietor
No
Enumeration date
Mar 14, 2022
Certification date
Mar 14, 2022
Last updated
Mar 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

50 Pleasant St
Northampton, MA 01060-4127

Phone 413-584-6855

Mailing address

50 Pleasant St
Northampton, MA 01060-4127

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