Individual
YAZARI CEDILLO ALVIZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2019 S HENDERSON BLVD UNIT 15, KILGORE, TX 75662-3567
(903) 985-7488
Mailing address
2019 S HENDERSON BLVD, KILGORE, TX 75662-3567
(903) 985-7444
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
115715
TX
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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