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Organization

FELISE DE NOVO, PC

Active
Other names
Families De Novo
Organization subpart
No

Provider details

NPI number
Authorized official
FELISE DE NOVO LPC (PRESIDENT)
(210) 419-3923
Entity
Organization

Contact information

Practice address
2400 MCCULLOUGH AVE., #12851, SAN ANTONIO, TX 78212
(210) 419-3923
(210) 320-0958
Mailing address
P. O. BOX 12851, SAN ANTONIO, TX 78212
(210) 419-3923
(210) 320-0958

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
16133
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029050402
TX
01
1164638011
NPI
TX
01
1386723500
NPI
TX
Enumeration date
06/13/2014
Last updated
06/13/2014
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