Individual
DJUANA D FOMBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6910 BELLAIRE BLVD STE 9, HOUSTON, TX 77074-3546
(281) 413-6721
Mailing address
10618 WILLOWISP DR, HOUSTON, TX 77035-3520
(281) 413-6721
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
32682
TX
Other
Enumeration date
04/04/2020
Last updated
04/04/2020
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