MEDICARE: MUSWEKI MARIE-THERESE MUSANGA LMSW

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
1	104100000X	Social Worker	62818	TX

General Provider Information

NPI Number	:	1144847492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUSWEKI MARIE-THERESE MUSANGA LMSW

Provider Business Mailing Address
First Line	:	201 WILCREST DR APT 2401
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-1147
Country	:	US
Telephone Number	:	802-829-8167
Fax Number	:

Provider Business Practice Location Address
First Line	:	10333 HARWIN DR STE 490
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-1532
Country	:	US
Telephone Number	:	281-501-0091
Fax Number	:

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

Provider Enumeration Date	:	07/02/2020
Last Update Date	:	07/02/2020

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