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1073177556
ELISE NICOLE KEOGHAN
AUSTIN, TX
NPI
1073177556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 76137)
Enumeration Date
2019-04-30
Last Update Date
2022-09-26
Business Address
Ms. ELISE NICOLE KEOGHAN LPC
2520 LONGVIEW ST STE 212
AUSTIN, TX 78705-4201
Phone number: 512-617-0706
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Mailing Address
Ms. ELISE NICOLE KEOGHAN LPC
PO BOX 143942
AUSTIN, TX 78714-3942
Phone number: 512-617-0706
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