Individual
MRS. ELIZABETH ROQUE-DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8930 FOURWINDS DR, STE 335, WINDCREST, TX 78239-1970
(210) 618-7249
(210) 590-0355
Mailing address
8930 FOURWINDS DR, STE 335, WINDCREST, TX 78239-1970
(210) 618-7249
(210) 590-0355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04906
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040251301
—
TX
Enumeration date
06/04/2006
Last updated
06/04/2014
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