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Individual

ELIZA DELEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
807 N CAGE BLVD, PHARR, TX 78577-3117
(956) 283-1889
(956) 283-7014
Mailing address
807 N CAGE BLVD, PHARR, TX 78577-3117
(956) 283-1889
(956) 283-7014

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
53971
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10012765
DL LIC.#
TX
Enumeration date
05/31/2010
Last updated
05/31/2010
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