Individual
MISS LAIZA MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.W.
Contact information
Practice address
3608 RICHMOND AVE, EL PASO, TX 79930-5138
(915) 256-6322
Mailing address
3608 RICHMOND AVE, EL PASO, TX 79930-5138
(915) 256-6322
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
51713
TX
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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