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1457110777
MATTHEW DAVID JERNIGAN
AUSTIN, TX
NPI
1457110777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 105457)
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
MATTHEW DAVID JERNIGAN LCSW
3914 AVENUE D APT 104
AUSTIN, TX 78751-4632
Phone number: 910-818-1397
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Mailing Address
MATTHEW DAVID JERNIGAN LCSW
3914 AVENUE D APT 104
AUSTIN, TX 78751-4632
Phone number: 910-818-1397
Copy
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