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Individual

MRS. SANDRA S VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LBSW

Contact information

Practice address
111 ILLINOIS ST, LAREDO, TX 78041-3217
(956) 324-9782
Mailing address
111 ILLINOIS ST, LAREDO, TX 78041-3217
(956) 324-9782

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
51752
TX
171M00000X
Case Manager/Care Coordinator
51752
TX

Other

Enumeration date
01/21/2011
Last updated
04/07/2011
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