Individual
MR. JOSE RAFAEL VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
700 19TH ST S, 116 MHC/PCT, BIRMINGHAM, AL 35233-1927
(205) 933-8101
(205) 939-4576
Mailing address
3451 KILDARE DR, N/A, HOOVER, AL 35226-2119
(205) 979-3711
(205) 939-4576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S10080
TX
Other
Enumeration date
10/04/2006
Last updated
07/21/2022
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