Individual
GRACIELA DUENAS PRIMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6100
Mailing address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
X-06463
NM
1041C0700X
Clinical Social Worker
Primary
53674
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VNM30451NI
—
NM
Enumeration date
11/10/2008
Last updated
12/17/2019
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