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Organization
AIREDESCENT WELLNESS, PLLC
Active
Organization
AIREDESCENT WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEDERIA MOORE LCSW (MANAGER)
(747) 777-0503
Entity
Organization
Contact information
Practice address
12330 METRIC BLVD APT 6214, AUSTIN, TX 78758-2523
(747) 777-0503
Mailing address
10900 RESEARCH BLVD,, STE 160C #2037, AUSTIN, TX 78759
(512) 677-5115
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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