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Individual

UTKALA MARINGANTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT-A

Contact information

Practice address
311 RANCH ROAD 620 S STE 103, LAKEWAY, TX 78734-4747
(512) 766-9911
Mailing address
2611 SUNSET VISTA CIR, SPICEWOOD, TX 78669-2086
(650) 309-2210

Taxonomy

Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
205322
TX

Other

Enumeration date
12/04/2024
Last updated
12/04/2024
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