Individual
MRS. CONNIE CAGLE CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
148 SANTA RITA RD, DALE, TX 78616-2986
(512) 601-3113
(512) 601-3113
Mailing address
148 SANTA RITA RD, DALE, TX 78616-2986
(512) 601-3113
(512) 601-3113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18011
TX
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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