Individual
MIRAKEL GRACE MAYORAL-GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5959 WEST LOOP S STE 430, BELLAIRE, TX 77401-2403
(713) 660-0776
Mailing address
11110 BRAEWICK DR, HOUSTON, TX 77096-5819
(978) 902-6715
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
109069
TX
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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