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Individual

MRS. ENEDELIA MIRANDA DE ANYANWU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1327 E WASHINGTON AVE # 282, HARLINGEN, TX 78550-5684
(956) 208-9307
Mailing address
954 LIVE OAK CIR APT B, HARLINGEN, TX 78550-9283
(956) 208-9307

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
28751
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
151175003
TX
Enumeration date
11/16/2007
Last updated
04/27/2015
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