Provider Information for 1437592003
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MONICA D MENDOZA LPC
Sex: Female
NPI: 1437592003
Last Updated: 2023-07-20
Certification Date: 2023-07-20
Certification Date: 2023-07-20
Details
Name | Value | ||||||||
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NPI | 1437592003 | ||||||||
Enumeration Date | 2013-04-12 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 1401 HIAWATHA LN BURKBURNETT, TX 76354-2805 United States Phone: 940-337-3726 | Fax:940-723-4490 | ||||||||
Primary Practice Address | 1808 ROSE ST WICHITA FALLS, TX 76301-4219 United States Phone: 940-322-9456 | Fax:940-723-4490 | ||||||||
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