Individual
FERNANDA MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4621 CREDO LANE, AUSTIN, TX 78725
(512) 350-0324
Mailing address
4621 CREDO LN, AUSTIN, TX 78725-2929
(512) 350-0324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106679
TX
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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