MEDICARE: MARY SPRY LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	107711	TX

General Provider Information

NPI Number	:	1356192710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY SPRY LMSW

Provider Business Mailing Address
First Line	:	5922 HEMATITE RIM
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78222-4157
Country	:	US
Telephone Number	:	443-523-9575
Fax Number	:

Provider Business Practice Location Address
First Line	:	5922 HEMATITE RIM
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78222-4157
Country	:	US
Telephone Number	:	443-523-9575
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2024
Last Update Date	:	04/01/2024

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Directions to “ MARY SPRY LMSW” Practice Location

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