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Individual

FNU MAILISI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
7272 WURZBACH RD STE 601, SAN ANTONIO, TX 78240-4803
(888) 365-6271
Mailing address
9378 OLIVE BLVD, OLIVETTE, MO 63132-3215

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2021044344
MO

Other

Enumeration date
11/20/2024
Last updated
03/04/2026
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