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1417104118
ELIZAVETA POTAPENKO
AUSTIN, TX
NPI
1417104118
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Other Name
ELIZABETH KHALLIEV
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TX 36269)
Enumeration Date
2008-08-25
Last Update Date
2015-08-20
Business Address
-- ELIZAVETA POTAPENKO Psy.D.
2111 DICKSON DR SUITE 10
AUSTIN, TX 78704-4796
Phone number: 404-989-0850
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Mailing Address
-- ELIZAVETA POTAPENKO Psy.D.
2111 DICKSON DR SUITE 10
AUSTIN, TX 78704-4796
Phone number: 404-989-0850
Copy
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