Individual
ANTIANA DESIREE VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N BISHOP AVE APT 159, DALLAS, TX 75208-1365
(402) 709-2662
Mailing address
200 N BISHOP AVE APT 159, DALLAS, TX 75208-1365
(402) 709-2662
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11807
NE
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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