KINO PARK

AUSTIN, TX
NPI1083474530
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  107952)
Enumeration Date2024-03-21
Last Update Date2024-03-21
Business Address
KINO PARK
802 LYDIA ST
AUSTIN, TX 78702-2623
Phone number: 512-380-1684
Mailing Address
KINO PARK
802 LYDIA ST
AUSTIN, TX 78702-2623
Phone number:
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