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General NPI Number Information
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NPI Number | 1235948027
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Entity Type | Individual
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Provider Name | MARISSA MCCABE LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 11901 TOEPPERWEIN RD STE 120
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City | LIVE OAK
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State | TX
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Zip | 78233-3161
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Country | US
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Telephone | 210-951-3479
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Fax |
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Provider Business Mailing Address
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Address Line | 3902 PERRIN CENTRAL BLVD APT 1108
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City | SAN ANTONIO
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State | TX
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Zip | 78217-2742
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Country | US
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Telephone | 512-560-7373
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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