Provider Demographics
NPI:1073738811
Name:GUERRERO, NORMA ALICIA (LBSW-IPR)
Entity Type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:ALICIA
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:LBSW-IPR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 BLUE ROCK RD
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-8404
Mailing Address - Country:US
Mailing Address - Phone:956-984-6131
Mailing Address - Fax:956-984-6167
Practice Address - Street 1:1900 W SCHUNIOR ST
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78541-2233
Practice Address - Country:US
Practice Address - Phone:956-984-6131
Practice Address - Fax:956-984-6167
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32418171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator