Dept of State Health Services Wic

NPI #1639337488 in Sulphur Springs, Texas

Provider Information

NPI Number
1639337488
Entity Type
Organization
Organization Name
Dept of State Health Services Wic
Primary Specialty
Public Health or Welfare
Enumeration Date
May 29, 2008
Last Updated
May 29, 2008

Practice Location

Address
1400 COLLEGE ST
Address 2
STE 167
State
Texas
ZIP Code
75482-3469
Phone
(903) 885-8022

Authorized Official

Name
ROBIN EDWARDS, WCS,CLC
Title
PUBLIC HEALTH TECH III
Phone
(903) 885-8022

Specialties & Taxonomy Codes

Specialty
Public Health or Welfare

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