Individual
EVELYN BUENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11754 JOLLYVILLE RD STE 110, AUSTIN, TX 78759-3948
(866) 912-2746
Mailing address
PO BOX 752123, HOUSTON, TX 77275-2123
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
07/15/2024
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