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1073135653
GEORGINA MARIE PETRONELLA
AUSTIN, TX
NPI
1073135653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: TX 68473)
Enumeration Date
2020-05-18
Last Update Date
2020-05-18
Business Address
GEORGINA MARIE PETRONELLA LMSW
1221 W BEN WHITE BLVD STE 210A
AUSTIN, TX 78704-7182
Phone number: 512-960-4533
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Mailing Address
GEORGINA MARIE PETRONELLA LMSW
1221 W BEN WHITE BLVD STE 210A
AUSTIN, TX 78704-7182
Phone number: 512-960-4533
Copy
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