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Organization
EYE OF THE HEART, PA
Active
Organization
EYE OF THE HEART, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA MONIQUE CARR (LICENSED CLINICAL SOCIAL WORKER)
(512) 297-8717
Entity
Organization
Contact information
Practice address
4403 MANCHACA RD, SUITE D, AUSTIN, TX 78745-1680
(512) 297-8717
(888) 395-2986
Mailing address
4403 MANCHACA RD, SUITE D, AUSTIN, TX 78745-1680
(512) 297-8717
(888) 395-2986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27129
TX
Other
Enumeration date
03/13/2012
Last updated
11/04/2014
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