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NPI Code Detail

MEDICARE: VALERIE JANELL CRUZ LCSW

MEDICARE: VALERIE JANELL CRUZ 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 Worker65157TX

General Provider Information

NPI Number : 1205656055
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE JANELL CRUZ LCSW
Provider Business Mailing Address
First Line : 4105 NEW ORLEANS ST
Second Line :
City : HOUSTON
State : TX
Zip : 77020-2545
Country : US
Telephone Number : 346-450-2309
Fax Number :
Provider Business Practice Location Address
First Line : 4105 NEW ORLEANS ST
Second Line :
City : HOUSTON
State : TX
Zip : 77020-2545
Country : US
Telephone Number : 346-450-2309
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2024
Last Update Date : 10/16/2024

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Directions to “ VALERIE JANELL CRUZ LCSW” Practice Location

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