Individual
MAYRA ELIZABETH TOVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 PARK PLACE AVE # B, FORT WORTH, TX 76110-1234
(682) 292-8515
Mailing address
2204 PARK PLACE AVE # B, FORT WORTH, TX 76110-1234
(682) 292-8515
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111126
TX
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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