Individual
GABRIELLE DIANDRA BOJORQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
219 SHARON DR, SAN ANTONIO, TX 78216-7321
(210) 819-1364
Mailing address
219 SHARON DR, SAN ANTONIO, TX 78216-7321
(210) 819-1364
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0009924995
CO
104100000X
Social Worker
64663
TX
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932986841
—
TX
Enumeration date
09/13/2023
Last updated
02/05/2025
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