Individual
KOURTNEY SONJAE VITAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(281) 965-8342
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105307
TX
Other
Enumeration date
08/03/2023
Last updated
12/12/2023
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