Most Relevant Information
Provider Data
| NPI Number: | 1003223520 |
| Provider Name: | GRISELDA PRADO VASQUEZ LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 59505 |
Most Important Dates
| Enumeration Date: | 07/16/2014 |
| Last Updated: | 07/29/2014 |
Provider Practice Location
1220 N MALINCHE AVE
LAREDO
TX
780433354
Practice Location Phone/Fax
| Phone: | 9567222431 |
| Fax: | 9567252704 |
Provider Mailing Location
1220 N MALINCHE AVE
LAREDO
TX
780433354
Provider Mailing Phone/Fax
| Phone: | 9567222431 |
| Fax: | 9567252704 |