Individual
KEREN NAOMI FUENTES MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
681 SPENCER LN, TYLER, TX 75704-6667
(939) 224-7769
Mailing address
PO BOX 4553, TYLER, TX 75712-4553
(939) 224-7769
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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