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Individual

MR. JERRY RANGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW, LMFT

Contact information

Practice address
4455 HORIZON HILL BLVD, SAN ANTONIO, TX 78229-2258
(210) 321-2714
(210) 321-2728
Mailing address
6003 CLEARBROOK ST., SAN ANTONIO, TX 78234
(210) 521-4163

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
00825
TX

Other

Enumeration date
09/05/2006
Last updated
07/08/2007
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