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1992446694
ITZAYANA TANYA PRADO
AUSTIN, TX
NPI
1992446694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 64281)
Enumeration Date
2022-04-05
Last Update Date
2022-04-07
Business Address
ITZAYANA TANYA PRADO LCSW
6002 JAIN LN
AUSTIN, TX 78721-3104
Phone number: 512-672-8381
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Mailing Address
ITZAYANA TANYA PRADO LCSW
6002 JAIN LN
AUSTIN, TX 78721-3104
Phone number: 512-672-8381
Copy
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