Individual
MARYAM MAHMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC, LMSW
Contact information
Practice address
4807 SPICEWOOD SPRINGS RD, AUSTIN, TX 78759-8444
(512) 417-3913
Mailing address
513 HEARN ST, AUSTIN, TX 78703-4515
(512) 417-3913
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16497
TX
104100000X
Social Worker
Primary
109671
TX
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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