JUAN MIGUEL MEDINA

WICHITA FALLS, TX
NPI1780064154
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  63416)
Enumeration Date2015-06-01
Last Update Date2023-02-09
Business Address
JUAN MIGUEL MEDINA LCSW
4706 LAKE PARK DR
WICHITA FALLS, TX 76302-3310
Phone number: 661-747-2697
Mailing Address
JUAN MIGUEL MEDINA LCSW
4706 LAKE PARK DR
WICHITA FALLS, TX 76302-3310
Phone number: 661-747-2697
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