Individual provider · NPI-1

Kathleen Bryan Cody, LCSW

Social Worker, Clinical · San Marcos, TX

NPI number1497045926
StatusActive
Last updated in NPPESMay 25, 2011

Details

NPI
1497045926
Entity type
Individual (NPI-1)
Name
Ms. Kathleen Bryan Cody
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 18, 2011
Last updated
May 25, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical09935TXYes

Practice location

102 Whitetail Dr
Suite 200
San Marcos, TX 78666-9739

Phone 512-393-4084

Mailing address

Po Box 16
San Marcos, TX 78667-0016

Phone 512-393-4084

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