Individual
MRS. JUANITA BANDA IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2002 HOLCOMBE BLVD, 111-SW, HOUSTON, TX 77030-4211
(713) 791-1414
(713) 794-7607
Mailing address
9859 SAGEQUEEN DR, HOUSTON, TX 77089-3613
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
37754
TX
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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