MEDICARE: ESTHER AVWORO

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	103TM1800X	Intellectual & Developmental Disabilities Psychologist
3	104100000X	Social Worker

General Provider Information

NPI Number	:	1568885143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER AVWORO

Provider Business Mailing Address
First Line	:	606 N ELDER GROVE DR
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7790
Country	:	US
Telephone Number	:	832-206-2681
Fax Number	:	832-328-7458

Provider Business Practice Location Address
First Line	:	606 N ELDER GROVE DR
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7790
Country	:	US
Telephone Number	:	832-206-2681
Fax Number	:	832-328-7458

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2014
Last Update Date	:	02/02/2014

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Directions to “ ESTHER AVWORO ” Practice Location

Language	Start Address	Practice Location

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