Individual
MR. AURELIO DE LA FUENTE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
400 N ALLEN DR STE 204, ALLEN, TX 75013-2568
(972) 233-1010
(214) 623-6692
Mailing address
1814 BAHAMAS DR, NUMBER 2, EDINBURG, TX 78541
(956) 414-3996
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
61487
TX
1041C0700X
Clinical Social Worker
Primary
61487
TX
Other
Enumeration date
02/15/2016
Last updated
04/06/2023
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