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Individual

MIA BANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5757 WOODWAY DR STE 285, HOUSTON, TX 77057-1533
(832) 787-0282
Mailing address
6218 GEHRING ST APT 19, HOUSTON, TX 77021-1065

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107853
TX

Other

Enumeration date
03/19/2024
Last updated
03/19/2024
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