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Individual

MS. ELAINE CARLSON MITTEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LBSW

Contact information

Practice address
13005 HUMPHREY DR, AUSTIN, TX 78729-7341
(512) 619-8471
(512) 458-7334
Mailing address
13005 HUMPHREY DR, AUSTIN, TX 78729-7341
(512) 458-7111
(512) 458-7334

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
13926
TX

Other

Enumeration date
07/27/2010
Last updated
07/27/2010
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