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Individual

CARMEL MARY O'REARDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2828 BAMMEL LN APT 810, HOUSTON, TX 77098-1146
(832) 721-7470
(832) 520-9488
Mailing address
2828 BAMMEL LN APT 810, HOUSTON, TX 77098-1146
(832) 721-7470

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34140
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01411352
AMERIGROUP
TX
05
172970902
TX
05
172970903
TX
05
172970907
TX
01
TXB122976
MEDICARE
TX
Enumeration date
02/28/2008
Last updated
02/24/2026
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