Individual
MS. GEORGANN E OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-LCSW
Contact information
Practice address
343 W HOUSTON ST, SUITE 301, SAN ANTONIO, TX 78205-2107
(210) 224-0602
(210) 226-7153
Mailing address
PO BOX 700567, SAN ANTONIO, TX 78270-0567
(210) 224-0602
(210) 226-7153
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26791
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039EX
BLUECROSS BLUESHIELD
TX
05
—
108116802
—
TX
01
—
257865
COMPSYCH PROVIDER #
TX
01
—
348327000
MAGELLAN ID
TX
Enumeration date
09/14/2006
Last updated
11/06/2012
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