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NPI Code Detail

MEDICARE: ELIZABETH RODRIGUEZ SROUJI LCSW

MEDICARE: ELIZABETH RODRIGUEZ SROUJI 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 Worker33725TX

General Provider Information

NPI Number : 1821351149
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH RODRIGUEZ SROUJI LCSW
Provider Business Mailing Address
First Line : 1946 WESTCREST DR
Second Line :
City : HOUSTON
State : TX
Zip : 77055-1432
Country : US
Telephone Number : 713-376-5592
Fax Number : 713-686-9413
Provider Business Practice Location Address
First Line : 7787 PINEMONT DR
Second Line : SUITE B
City : HOUSTON
State : TX
Zip : 77040-6216
Country : US
Telephone Number : 713-686-9194
Fax Number : 713-686-9413
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2012
Last Update Date : 06/21/2012

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Directions to “ ELIZABETH RODRIGUEZ SROUJI LCSW” Practice Location

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