Individual
MRS. DIAMANTINA SANTILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
825 E RUNDBERG LN STE F-1, AUSTIN, TX 78753-4808
(512) 804-3902
(512) 804-3901
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
64405
TX
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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