Individual
MRS. SALLY DEGOLLADO HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5120 BANTOM WOODS BND, AUSTIN, TX 78724-6235
(512) 992-1411
Mailing address
PO BOX 2401, AUSTIN, TX 78768-2401
(512) 992-1411
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
79103
TX
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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