Individual
GWENDOLYN MARENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12274 BANDERA RD STE 238, HELOTES, TX 78023-4727
(325) 864-6949
Mailing address
12274 BANDERA RD STE 238, HELOTES, TX 78023-4727
(325) 864-6949
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
54024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354473601
—
TX
Enumeration date
09/16/2015
Last updated
10/15/2024
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