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Organization
MERMAIDS AND CENTAURS
Active
Organization
MERMAIDS AND CENTAURS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA SPIELMAN LCSW (OWNER/ THERAPIST)
(512) 771-1313
Entity
Organization
Contact information
Practice address
605 COPELAND ST APT C, AUSTIN, TX 78704-2421
(512) 771-1313
Mailing address
605 COPELAND ST APT C, AUSTIN, TX 78704-2421
(512) 771-1313
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
36198
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038NF
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/07/2008
Last updated
01/07/2008
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