Individual
HANNAH RAE JEANISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
11901 TOEPPERWEIN RD, LIVE OAK, TX 78233-3161
(210) 951-3479
Mailing address
417 BREES BLVD, SAN ANTONIO, TX 78209-4827
(210) 488-2960
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112655
TX
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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