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Organization
N OTOUPAL, PLLC
Active
Organization
N OTOUPAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAN OTOUPAL LCSW (SOLE MEMBER)
(719) 501-3337
Entity
Organization
Contact information
Practice address
102 WONDER WORLD DR # 304-146, SAN MARCOS, TX 78666-6076
(719) 501-3337
Mailing address
102 WONDER WORLD DR # 304-146, SAN MARCOS, TX 78666-6076
(719) 501-3337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329161901
—
TX
Enumeration date
08/09/2013
Last updated
12/19/2023
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