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Provider Information for 1699916494


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SHERRY RANTZ LCSW


Sex: Female

NPI: 1699916494
Last Updated: 2009-03-09
Certification Date:

Details

NameValue
NPI1699916494
Enumeration Date2009-03-09
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 447 BEVERLY DR
SAN ANTONIO, TX 78228-3155
United States

Phone: 210-286-6448 | Fax:
 
Primary Practice Address 7410 BLANCO RD
SUITE 100
SAN ANTONIO, TX 78216-4363
United States

Phone: 210-366-1662 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDTXSWOOS43Z2
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalTX22694