Individual
ANNA LISA CONLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-S
Contact information
Practice address
3724 JEFFERSON ST STE 200, AUSTIN, TX 78731-6221
(512) 436-5723
Mailing address
3724 JEFFERSON ST STE 200, AUSTIN, TX 78731-6221
(512) 436-5723
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
395135201
—
TX
01
—
8KH607
BCBS OF TX
TX
Enumeration date
07/31/2007
Last updated
06/12/2024
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