Individual
CHLOE DE LA O
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 450-7090
Mailing address
7526 LOUIS PASTEUR DR, SAN ANTONIO, TX 78229-4001
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
63995
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447901038
—
TX
Enumeration date
01/14/2022
Last updated
06/20/2022
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