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Organization
MARIA T ISAVA, LCSW PLLC
Active
Organization
MARIA T ISAVA, LCSW PLLC
Active
Other names
Maria T Isava, LCSW, Maria T Isava, LCSW PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
ADELE MARIE KONYK (OFFICE MANGER)
(561) 702-8265
Entity
Organization
Contact information
Practice address
4425 PLANO PKWY STE 701, CARROLLTON, TX 75010-5031
(469) 469-9557
Mailing address
601 SHASTA CT, HIGHLAND VILLAGE, TX 75077-7056
(469) 469-9557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
445232491
BCBS TEXAS
TX
01
—
67389
LICENSURE
TX
Enumeration date
10/03/2019
Last updated
10/28/2020
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