Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker |
NPI | 1003485400 |
---|---|
Provider Name | Ms. Rose Anzel |
First Address | San Antonio, TX 78210-1029 |
Second Address | San Antonio, TX 78210-2841 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2021 |
Last Update Date | 21/06/2021 |