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1861540494
ALICIA MCCULLOUGH JARRY
AUSTIN, TX
NPI
1861540494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 26415)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
-- ALICIA MCCULLOUGH JARRY LCSW
603 W 18TH ST
AUSTIN, TX 78701-1166
Phone number: 512-482-8828
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Mailing Address
-- ALICIA MCCULLOUGH JARRY LCSW
2828 PEARL ST
AUSTIN, TX 78705-3535
Phone number: 512-482-8828
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