Individual
MAYRA LIZETH CRUZ HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
911 CENTRAL PKWY N STE 100, SAN ANTONIO, TX 78232-5053
(726) 999-0697
Mailing address
6644 SALLY AGEE, SAN ANTONIO, TX 78238-3032
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
55723
TX
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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