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1306106976
IAN BIRDWELL
AUSTIN, TX
NPI
1306106976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 65478)
Enumeration Date
2012-05-16
Last Update Date
2012-05-16
Business Address
-- IAN BIRDWELL LPC
1003 JUSTIN LN #2096
AUSTIN, TX 78757-2662
Phone number: 512-585-2304
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Mailing Address
-- IAN BIRDWELL LPC
1003 JUSTIN LN #2096
AUSTIN, TX 78757-2662
Phone number: 512-585-2304
Copy
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