Individual
MS. MARY LOU HIPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14400 NORTHBROOK DR STE 200, SAN ANTONIO, TX 78232-5038
(210) 494-2160
(210) 490-7926
Mailing address
14400 NORTHBROOK DR STE 200, SAN ANTONIO, TX 78232-5038
(210) 494-2160
(210) 490-7926
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
54266
TX
Other
Enumeration date
12/08/2010
Last updated
01/14/2011
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