Individual
MRS. ANISA LONGORIA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
608 LUNDY ST, EL CAMPO, TX 77437-3518
(979) 578-9667
(979) 578-9667
Mailing address
608 LUNDY ST, EL CAMPO, TX 77437-3518
(979) 578-9667
(979) 578-9667
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
50558
TX
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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