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1982012613
KATHRYN M ELLIS
AUSTIN, TX
NPI
1982012613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 50338)
Enumeration Date
2014-07-25
Last Update Date
2014-07-25
Business Address
Ms. KATHRYN M ELLIS
1130 SALINA ST
AUSTIN, TX 78702-2730
Phone number: 512-680-1082
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Mailing Address
Ms. KATHRYN M ELLIS
1130 SALINA ST
AUSTIN, TX 78702-2730
Phone number: 512-680-1082
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