KASEY B JACKSON

AUSTIN, TX
NPI1003378241
Former NameKASEY LYNN BOURBON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  52150)
Enumeration Date2019-04-05
Last Update Date2019-04-05
Business Address
KASEY B JACKSON LCSW-S
12120 MANCHACA RD
AUSTIN, TX 78748-2710
Phone number: 512-960-4533
Mailing Address
KASEY B JACKSON LCSW-S
1221 W BEN WHITE BLVD STE 210A
AUSTIN, TX 78704-7182
Phone number: 512-960-4553
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