Venus Lacy Amezcua

NPI #1134983950 in Gautier, Mississippi

Provider Information

NPI Number: 1134983950
Entity Type: Individual
Name: Venus Lacy Amezcua
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Feb 12, 2024
Last Updated: Feb 12, 2024

Practice Location

Address: 3407 SHAMROCK CT
City: Gautier
State: Mississippi
ZIP Code: 39553-5337
Phone: (228) 497-0690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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