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1841944857
LIVE OAK COLLECTIVE LLC
AUSTIN, TX
NPI
1841944857
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Entity Type
Organization
Authorized Contact
SARAH ELIZABETH KINCHELOE
Co Owner
512-765-6657
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-02-08
Last Update Date
2022-02-08
Business Address
LIVE OAK COLLECTIVE LLC
2603 WILLOW ST
AUSTIN, TX 78702-5631
Phone number: 512-765-6657
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Mailing Address
LIVE OAK COLLECTIVE LLC
2603 WILLOW ST
AUSTIN, TX 78702-5631
Phone number: 512-765-6657
Copy
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