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Organization
SAGE SOCIAL SERVICES, PA
Active
Organization
SAGE SOCIAL SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENDA WRENN-GORDON MD (OWNER)
(210) 248-9077
Entity
Organization
Contact information
Practice address
101 PEACEFUL LN, CONVERSE, TX 78109-1007
(210) 248-9077
(210) 945-8489
Mailing address
101 PEACEFUL LN, CONVERSE, TX 78109-1007
(210) 248-9077
(210) 945-8489
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
20064
TX
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
27796
TX
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/30/2011
Last updated
01/13/2022
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