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>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1891979811

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
30443 BETKA RD  WALLER, TX 77484-4952 US
Tel: 936-372-9007  Fax: 936-372-3003

Contact information for business:
30443 BETKA RD  WALLER, TX 77484-4952 US
Tel: 936-372-9007  Fax: 936-372-3003

Registration Information:
NPI: 1891979811
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:



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