Individual
ANGELICA MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13342 GREENSTONE, SAN ANTONIO, TX 78249-4504
(210) 365-8511
Mailing address
13342 GREENSTONE, SAN ANTONIO, TX 78249-4504
(210) 365-8511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
56200
TX
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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