Individual
MRS. EDEN CHARISSE MALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-S
Contact information
Practice address
13740 RESEARCH BLVD STE N7, AUSTIN, TX 78750-1834
(512) 333-4650
Mailing address
1903 OWENS LN, LAGO VISTA, TX 78645-2006
(512) 652-8401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
56530
TX
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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