Individual
ELAINE SQUIRES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3215 STECK AVE, SUITE 200, AUSTIN, TX 78757-7566
(512) 476-3556
(512) 476-0195
Mailing address
3215 STECK AVE, SUITE 200, AUSTIN, TX 78757-7566
(512) 476-3556
(512) 476-0195
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
32269
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86383Q
BLUE CROSS
TX
01
—
P00177138
RAILROAD MEDICARE
TX
Enumeration date
08/02/2005
Last updated
07/08/2007
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