Individual
MRS. IDALIA G MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4528 E INGLE RD, EDINBURG, TX 78541
(956) 618-7107
(956) 618-7148
Mailing address
202 REBECCA DR, EDINBURG, TX 78542-0635
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S23619
TX
1041C0700X
Clinical Social Worker
23619
TX
Other
Enumeration date
08/31/2006
Last updated
08/02/2018
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