Individual
MRS. ELISA YVETTE YBARRA-TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1904 E. GRIFFIN PARKWAY, MISSION, TX 78572-3106
(956) 585-2439
(956) 585-3145
Mailing address
2805 FOUNTAIN PLAZA BLVD., EDINBURG, TX 78539-8031
(956) 316-2224
(956) 316-2224
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
51021
TX
171M00000X
Case Manager/Care Coordinator
32660
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173943501
—
TX
Enumeration date
08/26/2011
Last updated
08/15/2012
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