Individual
KORINA VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4426 CUMBERLAND AVE, EL PASO, TX 79903-1904
(915) 479-1761
Mailing address
4426 CUMBERLAND AVE, EL PASO, TX 79903-1904
(915) 479-1761
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114612
TX
104100000X
Social Worker
SWB-2024-0985
NM
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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