Individual
JANE CONCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11613 BOBBY FULLER DR, EL PASO, TX 79936-4022
(915) 252-4509
Mailing address
11613 BOBBY FULLER DR, EL PASO, TX 79936-4022
(915) 252-4509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
58071
TX
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
01/13/2017
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