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Individual

ITZAYANA TANYA PRADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6002 JAIN LN, AUSTIN, TX 78721-3104
(512) 672-8381
(512) 462-2028
Mailing address
6002 JAIN LN, AUSTIN, TX 78721-3104
(512) 672-8381
(512) 462-2028

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
64281
TX

Other

Enumeration date
04/05/2022
Last updated
04/07/2022
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