MEDICARE: VALERIE HARKINS LBSW

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	56899	TX

General Provider Information

NPI Number	:	1881019990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE HARKINS LBSW

Provider Business Mailing Address
First Line	:	6009 RICHMOND AVE
Second Line	:	SUITE 113
City	:	HOUSTON
State	:	TX
Zip	:	77057-6226
Country	:	US
Telephone Number	:	713-780-0030
Fax Number	:	713-787-6114

Provider Business Practice Location Address
First Line	:	6009 RICHMOND AVE
Second Line	:	SUITE 113
City	:	HOUSTON
State	:	TX
Zip	:	77057-6226
Country	:	US
Telephone Number	:	713-780-0030
Fax Number	:	713-787-6114

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

Provider Enumeration Date	:	02/26/2014
Last Update Date	:	02/26/2014

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