Individual
MACKENZIE BALDERAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1422 HOOVER DR, DEER PARK, TX 77536-5157
(281) 733-0785
Mailing address
1422 HOOVER DR, DEER PARK, TX 77536-5157
(281) 733-0785
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202321
TX
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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