Individual
ILIANA MCGURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6613 FOREST GRV, SAN ANTONIO, TX 78240-3315
(210) 306-6780
Mailing address
6613 FOREST GRV, SAN ANTONIO, TX 78240-3315
(210) 306-6780
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
58005
TX
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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