Individual
YESSIKA CANALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1403 N SEYMOUR AVE, LAREDO, TX 78040-8752
(956) 723-6700
Mailing address
1403 N SEYMOUR AVE, LAREDO, TX 78040-8752
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
101167
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1714362-01
—
TX
Enumeration date
09/07/2011
Last updated
09/07/2011
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