Individual
PHYLLIS IHEANACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1910 TEAKWOOD ST, RICHMOND, TX 77469-5413
(713) 517-2948
Mailing address
12007 MEREWOOD LN, HOUSTON, TX 77071-2413
(713) 517-2948
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
58830
TX
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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