JOHN LEE BAZAN

AUSTIN, TX
NPI1598107435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  53416)
Enumeration Date2013-07-19
Last Update Date2017-03-14
Business Address
-- JOHN LEE BAZAN LCSW
4614 N IH 35
AUSTIN, TX 78751-3401
Phone number: 512-978-9100
Mailing Address
-- JOHN LEE BAZAN LCSW
4614 N IH 35
AUSTIN, TX 78751-3401
Phone number: 512-978-9100
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