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CHASE G VALENCIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
621 S 6TH AVE, EDINBURG, TX 78539-4208
(956) 342-3466
Mailing address
621 S 6TH AVE, EDINBURG, TX 78539-4208
(956) 342-3466

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60670
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
388328202
TX
01
737613
TX- MEDICARE
TX
Enumeration date
07/23/2018
Last updated
05/11/2021
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