Individual
CARLOS EMMANUEL CANO-GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
Mailing address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
62791
TX
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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