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Individual

THALIA PUENTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
11200 BROADWAY ST STE 2743, PEARLAND, TX 77584-9787
(832) 307-3008
(430) 203-5645
Mailing address
11200 BROADWAY ST STE 2743, PEARLAND, TX 77584-9787
(832) 307-3008
(430) 203-5645

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
66275
TX
1041C0700X
Clinical Social Worker
66275
TX

Other

Enumeration date
02/19/2022
Last updated
09/13/2023
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