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Individual

DR. IVANA RADOVANCEVIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED, LPC, MD

Contact information

Practice address
3801 KIRBY DR, HOUSTON, TX 77098-4100
(713) 533-9936
Mailing address
1714 MORSE ST, HOUSTON, TX 77019-5733
(713) 533-9936

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
60789
TX

Other

Enumeration date
08/25/2008
Last updated
12/07/2012
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