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Individual
MS. SIOMARA I MONGE
Active
Individual
MS. SIOMARA I MONGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18333
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10034577
AMERIGROUP
TX
01
—
268286
COMPSYCH
TX
01
—
363495
MANAGED HEALTH NETWORK
TX
01
—
7133LC
BCBS
TX
Enumeration date
08/03/2006
Last updated
07/09/2007
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