Individual
DAISY M ELIZONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
1035 RIVERBEND ST, RIO GRANDE CITY, TX 78582-5730
(956) 437-6805
Mailing address
1035 RIVERBEND ST, RIO GRANDE CITY, TX 78582-5730
(956) 437-6805
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
50428
TX
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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