Individual
ISAAC MICHAEL STANALAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1601 E YANDELL DR, EL PASO, TX 79902-5677
(915) 887-3410
Mailing address
201 E MAIN DR STE 600, EL PASO, TX 79901-1385
(915) 887-3410
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
110829
TX
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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