Provider Information for 1114676988
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KATHERINE VELASQUEZ LCSW
Sex: Female
NPI: 1114676988
Last Updated: 2022-07-27
Certification Date: 2022-04-06
Certification Date: 2022-04-06
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1114676988 | ||||||||
| Enumeration Date | 2022-03-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1604 CLOUDY BRK SCHERTZ, TX 78154-3080 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 7400 MERTON MINTER ST SAN ANTONIO, TX 78229-4404 United States Phone: 210-617-5300 | Fax: | ||||||||
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