Individual
DEANNE IRENE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2950 NORTH LOOP W STE 200, HOUSTON, TX 77092-8839
(469) 705-8271
Mailing address
2950 NORTH LOOP W STE 200, HOUSTON, TX 77092-8839
(469) 705-8271
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
68980
TX
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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