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1154948495
JESSICA RAE WHITE
AUSTIN, TX
NPI
1154948495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 65205)
Enumeration Date
2020-07-02
Last Update Date
2020-09-06
Business Address
JESSICA RAE WHITE LCSW
4501 S 2ND ST
AUSTIN, TX 78745-1950
Phone number: 770-374-9161
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Mailing Address
JESSICA RAE WHITE LCSW
4501 S 2ND ST
AUSTIN, TX 78745-1950
Phone number: 770-374-9161
Copy
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