Individual
MS. CARISSA KEYAN LAZARO CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17515 HOLLYBERRY LN, SUGAR LAND, TX 77479-3095
(832) 866-5595
Mailing address
17515 HOLLYBERRY LN, SUGAR LAND, TX 77479-3095
(832) 866-5595
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
66775
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/09/2011
Last updated
01/26/2025
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