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Individual

MAYA CONLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2501 W. WILLIAM CANNON DR., BLDG 6 STE. A, AUSTIN, TX 78745
(512) 344-9181
Mailing address
9309 LINKMEADOW DR, AUSTIN, TX 78748-5081
(512) 796-4352

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
61647
TX

Other

Enumeration date
01/05/2017
Last updated
10/12/2020
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