Individual
MRS. CAROL L. VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
600 N PARK ST, BRENHAM, TX 77833-2610
(979) 337-5800
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
39119
TX
Other
Enumeration date
01/05/2010
Last updated
01/19/2022
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