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General NPI Number Information
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NPI Number | 1376830877
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Entity Type | Organization
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Legal Business Name | SERENITY COUNSELING AND SOCIAL SERVICES
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Dates
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Enumeration Date | 07/05/2011
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Last Update Date | 07/05/2011
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Provider Practice Location Address
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Address Line | 4802 CARDINAL LN
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City | EDINBURG
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State | TX
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Zip | 78542-6797
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Country | US
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Telephone | 956-457-2888
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Fax | 956-782-0384
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Provider Business Mailing Address
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Address Line | 4802 CARDINAL LN
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City | EDINBURG
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State | TX
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Zip | 78542-6797
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Country | US
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Telephone | 956-457-2888
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Fax | 956-782-0384
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Authorized Official
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Title or Position | OWNER/SOCIAL WORKER
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Name | MRS. CRUZ E GALAVIZ COBOS
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Credential | LCSW
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Telephone | 95645728888
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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 | 39627
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License Number State | TX
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