Individual
ELIZABETH ANNE SIDENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6207 SHERIDAN AVE, AUSTIN, TX 78723-1060
(512) 276-8196
(512) 334-4465
Mailing address
6207 SHERIDAN AVE, AUSTIN, TX 78723-1060
(512) 276-8196
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
67393
TX
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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