Provider Information for 1427755198
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AMELIA VAZQUEZ RIVERA LCSW
Sex: Female
NPI: 1427755198
Last Updated: 2023-02-14
Certification Date: 2023-02-14
Certification Date: 2023-02-14
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1427755198 | ||||||||
| Enumeration Date | 2023-02-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 24762 HOUSTON, TX 77229-4762 United States Phone: 713-303-4413 | Fax:713-330-0978 | ||||||||
| Primary Practice Address | 550 MAXEY RD UNIT 24762 HOUSTON, TX 77013-5036 United States Phone: 713-303-4413 | Fax:713-330-0978 | ||||||||
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