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1093584179
MARIYAM IMTIAZ
KATY, TX
NPI
1093584179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 69713)
Enumeration Date
2023-12-29
Last Update Date
2023-12-29
Business Address
MARIYAM IMTIAZ LCSW
147 BELLA KATY DR
KATY, TX 77494-6819
Phone number: 832-717-7166
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Mailing Address
MARIYAM IMTIAZ LCSW
147 BELLA KATY DR
KATY, TX 77494-6819
Phone number: 832-717-7166
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