Individual provider · NPI-1

Wenona Yvonna Andress, LCSW

Social Worker, Clinical · Lubbock, TX

NPI number1053606129
StatusActive
Last updated in NPPESJan 16, 2017

Details

NPI
1053606129
Entity type
Individual (NPI-1)
Name
Mrs. Wenona Yvonna Andress
Credential
LCSW
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 16, 2011
Last updated
Jan 16, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical41645TXYes

Practice location

3403 73rd St
Ste 7
Lubbock, TX 79423-1101

Phone 806-474-5787 · Fax 806-500-2936

Mailing address

6502 Slide Rd
Suite 207
Lubbock, TX 79424-1329

Phone 806-771-8808 · Fax 806-771-8809

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