Individual
BENITO GUAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5823 CHAMPIONS HILL DR, SAN ANTONIO, SAN ANTONIO, TX 78233-4451
(210) 404-9399
(210) 481-7175
Mailing address
5823 CHAMPIONS HILL DR, SAN ANTONIO, SAN ANTONIO, TX 78233-4451
(210) 404-9399
(210) 481-7175
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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