Individual
CONLELA ISOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1127 FAWN LILY DR, TEMPLE, TX 76502-7801
(254) 768-4057
Mailing address
1127 FAWN LILY DR, TEMPLE, TX 76502-7801
(254) 768-4057
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107590
TX
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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