Marney Wayne Defoore LCSW

NPI 1669619409 - Social Worker - 1041C0700X

NPI Details
NPI 1669619409
Gender Male
Enumeration Date 01/15/2009
Last Updated 03/02/2011
Entity Type Individual
Active Over 7 years ago
Practice Location
1222 N MAIN AVE
SUITE 714
SAN ANTONIO TX, 78212-5712, US
Phone (210) 883-7877
Fax (888) 366-6472
Business Location
1222 N MAIN AVE
SUITE 714
SAN ANTONIO TX, 78212-5712, US
Phone (210) 883-7877
Fax (888) 366-6472
Toxanomy
Taxonomy Code 1041C0700X
License State Texas
License Number 37462
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According to our database, Mr. Marney Wayne Defoore LCSW NPI is 1669619409, taxonomy code is 1041C0700X and license number is 37462, license state is located at Texas. Marney Wayne Defoore LCSW physically located at 1222 N Main Ave, San Antonio TX, 78212-5712. NPI Number Marney Wayne Defoore LCSW has the Individual type.

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1669619409 NPI number is provided on an as is basis without warranty of any kind. 1669619409 is maintained by the National Plan & Provider Enumeration System. The contents of Marney Wayne Defoore LCSW are for informational purposes only.