Individual
MR. SUNIL M MAMMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
15015 W AIRPORT BLVD, APT 611, SUGAR LAND, TX 77478-7081
(281) 277-5541
Mailing address
15015 W AIRPORT BLVD, APT 611, SUGAR LAND, TX 77478-7081
(281) 277-5541
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
50994
TX
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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