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Individual

ANGELICA JASMINE LOERAVASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6012 REEF POINT LN STE C, FORT WORTH, TX 76135-2056
(682) 312-8184
Mailing address
645 BENT OAK DR, FORT WORTH, TX 76131-4231
(210) 621-8631

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106509
TX

Other

Enumeration date
11/20/2025
Last updated
11/20/2025
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