Individual
MRS. ARIZA JANUARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1221 E FM 1717, KINGSVILLE, TX 78363-9661
(956) 341-6366
Mailing address
PO BOX 1627, KINGSVILLE, TX 78364-1627
(956) 341-6366
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
54870
TX
Other
Enumeration date
03/18/2011
Last updated
03/18/2011
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