Organization
INBODIED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNYN S VICENTE LCSW-S (OWNER)
(253) 344-0769
Entity
Organization
Contact information
Practice address
216 QUENTIN DR, SAN ANTONIO, TX 78201-3730
(253) 344-0769
Mailing address
216 QUENTIN DR, SAN ANTONIO, TX 78201-3730
(253) 344-0769
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
05/08/2023
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