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General NPI Number Information
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NPI Number | 1326791468
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Entity Type | Individual
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Provider Name | GLENDA MARIA VALENTICH LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/29/2022
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 1452 HUGHES RD STE 200
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City | GRAPEVINE
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State | TX
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Zip | 76051-9221
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Country | US
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Telephone | 817-366-9740
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Fax |
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Provider Business Mailing Address
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Address Line | 10245 S ROLLING WATER DR
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City | VAIL
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State | AZ
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Zip | 85641-0528
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Country | US
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Telephone | 352-636-4626
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 58949
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License Number State | TX
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