Organization
DUETS II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VENETIA CYNTHIA WILKS LBSW, LCPAA, MS (EXECUTIVE DIRECTOR)
(281) 450-4879
Entity
Organization
Contact information
Practice address
723 MAIN ST, #405, HOUSTON, TX 77002-3311
(281) 367-3837
Mailing address
723 MAIN ST, #405, HOUSTON, TX 77002-3311
(281) 367-3837
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
03/13/2011
Last updated
03/13/2011
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