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Individual

VALERIE MEDINA HURST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1040 SAKELARES BLVD, GRANTS, NM 87020-3819
(505) 867-1890
Mailing address
21319 GANTON DR, KATY, TX 77450-5229
(703) 674-9943

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
65383
TX
1041C0700X
Clinical Social Worker
Primary
SWB-2023-0107
NM

Other

Enumeration date
02/15/2023
Last updated
01/25/2024
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