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1073157855
ILYSE KENNEDY
AUSTIN, TX
NPI
1073157855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 78789)
Enumeration Date
2019-11-04
Last Update Date
2022-11-05
Business Address
ILYSE KENNEDY LPC
2113 RIDDLE RD
AUSTIN, TX 78748-1305
Phone number: 512-766-9702
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Mailing Address
ILYSE KENNEDY LPC
6609 MANCHACA RD
AUSTIN, TX 78745-4934
Phone number: 512-766-9702
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