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Individual

MRS. SHARON KAY WHITLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1300 BAY AREA BLVD STE 122B, HOUSTON, TX 77058-2505
(361) 655-7719
Mailing address
16107 DIANA LN, HOUSTON, TX 77062-4408
(361) 655-7719

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19576
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
179247501
TX
Enumeration date
06/07/2006
Last updated
08/02/2020
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