Individual
MS. MODINAT SHOWEMIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1515 S CAPITAL OF TEXAS HWY STE 300, AUSTIN, TX 78746-6544
(888) 699-4112
Mailing address
1515 S CAPITAL OF TEXAS HWY STE 300, AUSTIN, TX 78746-6544
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114256
TX
Other
Enumeration date
01/11/2019
Last updated
02/06/2025
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