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1215408596
CONNIE BOGARD THOMAS
AUSTIN, TX
NPI
1215408596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 59996)
Enumeration Date
2018-12-11
Last Update Date
2020-09-03
Business Address
CONNIE BOGARD THOMAS LCSW
2906 SAN GABRIEL ST
AUSTIN, TX 78705-3533
Phone number: 512-548-3953
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Mailing Address
CONNIE BOGARD THOMAS LCSW
3400 BRATTON RIDGE XING
AUSTIN, TX 78728-3674
Phone number: 512-773-1692
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