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NPI Code Detail

MEDICARE: MILJANA BAJIC LCSW

MEDICARE:   MILJANA  BAJIC  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker106763TX

General Provider Information

NPI Number : 1164221370
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILJANA BAJIC LCSW
Provider Business Mailing Address
First Line : 10702 BOB WHITE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77096-5617
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10702 BOB WHITE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77096-5617
Country : US
Telephone Number : 832-788-3654
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2025
Last Update Date : 03/10/2025

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Directions to “ MILJANA BAJIC LCSW” Practice Location

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