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1477569168
KEITH FITZGERALD HERGENHAHN
AUSTIN, TX
NPI
1477569168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 27659)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
-- KEITH FITZGERALD HERGENHAHN LCSW
5750 BALCONES DR
AUSTIN, TX 78731-4252
Phone number: 512-472-4009
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Mailing Address
-- KEITH FITZGERALD HERGENHAHN LCSW
5750 BALCONES DR
AUSTIN, TX 78731-4252
Phone number: 512-472-4009
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