Provider Demographics
NPI:1760713952
Name:MONROE, DORA LETICIA (LCSW)
Entity Type:Individual
Prefix:
First Name:DORA
Middle Name:LETICIA
Last Name:MONROE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 QUAIL HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-9022
Mailing Address - Country:US
Mailing Address - Phone:956-543-3317
Mailing Address - Fax:956-465-0844
Practice Address - Street 1:2390 CENTRAL BLVD STE L
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8717
Practice Address - Country:US
Practice Address - Phone:956-543-3317
Practice Address - Fax:956-465-0844
Is Sole Proprietor?:No
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX329421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical