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Individual

MARIA CONCEPCION CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
132 CHICHESTER PLACE, SAN ANTONIO, TX 78209
(210) 828-8495
(210) 828-8495
Mailing address
132 CHICHESTER PLACE, SAN ANTONIO, TX 78209
(210) 828-8495
(210) 828-8495

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23433
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
097549201
TX
Enumeration date
10/25/2006
Last updated
10/19/2011
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