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Individual

CARMELLA ROSE CULVER WYGANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20051
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
388294601
TX
01
388294602
CSHCN MEDICAID TPI
TX
Enumeration date
01/03/2018
Last updated
04/25/2023
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