Individual
EMILY MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
191 W SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-7031
(817) 488-0502
(817) 488-0495
Mailing address
191 W SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-7031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
68754
TX
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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