Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 20501 | TX |
NPI | 1003003419 |
---|---|
Provider Name | Ms. Nadine Louise Garcia |
First Address | San Antonio, TX 78256-1660 |
Second Address | San Antonio, TX 78256-2374 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2007 |
Last Update Date | 23/11/2007 |