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Individual

DR. ANNA ESCAMILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, PH.D.

Contact information

Practice address
11673 JOLLYVILLE RD, SUITE 204, AUSTIN, TX 78759-3933
(512) 401-0002
(512) 401-0006
Mailing address
11673 JOLLYVILLE RD, SUITE 204, AUSTIN, TX 78759-3933
(512) 401-0002
(512) 401-0006

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02797
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00S69Y
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/14/2006
Last updated
07/08/2007
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