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Individual

MS. DELORES ANN MAYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LMSW-C

Contact information

Practice address
2021 GUADALUPE ST STE 260, AUSTIN, TX 78705-5654
(646) 453-6777
(212) 337-9841
Mailing address
4703 OSAGE CT, ARLINGTON, TX 76018-1066
(989) 817-6968

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6801106198
MI
1041C0700X
Clinical Social Worker
Primary
112791
TX
1041C0700X
Clinical Social Worker
6801117536
MI
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
04/14/2015
Last updated
08/06/2024
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