Individual
MS. DESTINY MARQUEZ- WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
4402 FOREST GREEN ST, SAN ANTONIO, TX 78222-3730
(210) 544-3365
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
66676
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66676
LMSW
TX
Enumeration date
08/12/2022
Last updated
08/12/2022
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