SALLY GAINES FUSSELL

AUSTIN, TX
NPI1093932469
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  12334)
Enumeration Date2007-04-19
Last Update Date2012-03-08
Business Address
-- SALLY GAINES FUSSELL LCSW
6601 NORTHEAST DR
AUSTIN, TX 78723-2126
Phone number: 512-971-7901
Mailing Address
-- SALLY GAINES FUSSELL LCSW
6601 NORTHEAST DR
AUSTIN, TX 78723-2126
Phone number: 512-971-7901
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