Individual
DR. CONNIE M SICILIANO AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
735 JUSTIN RD, ROCKWALL, TX 75087-4840
(214) 830-9879
Mailing address
PO BOX 863842, PLANO, TX 75086-3842
(214) 830-9879
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
37241
TX
Other
Enumeration date
04/11/2018
Last updated
01/31/2023
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