Individual
MS. DALIA S ESPERICUETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 N MAIN ST, SUITE 304, CORSICANA, TX 75110-5215
(903) 874-7133
(903) 874-1495
Mailing address
341 WESLEY DR, CORSICANA, TX 75110-1374
(903) 874-7133
(903) 874-1495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097EF
BCBS
TX
01
—
128001
VALUE OPTIONS
TX
Enumeration date
12/29/2006
Last updated
07/09/2007
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