Individual
VICKI PICKLE MAESTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
6314 DELTA DR, EL PASO, TX 79905-5406
(915) 775-2710
Mailing address
6314 DELTA DR, EL PASO, TX 79905-5406
(915) 775-2710
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
55943
TX
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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