Individual
CHARM MIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6159
(915) 564-7867
Mailing address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6159
(915) 564-7867
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
36610
TX
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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