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2911 A W Grimes Blvd Ste 204 Pflugerville TX 78660-5459 | |
| (512) 956-7793 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2911 A W Grimes Blvd Ste 204, Pflugerville, Texas |
| Authorized Official Name and Position | Kelley Casey (INDEPENDENT SOCIAL WORKER) |
| Authorized Official Contact | 5129567793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2911 A W Grimes Blvd Ste 204 Pflugerville TX 78660-5459 Ph: (512) 956-7793 | 2911 A W Grimes Blvd Ste 204 Pflugerville TX 78660-5459 Ph: (512) 956-7793 |
| NPI Number | 1629585989 |
|---|---|
| Provider Enumeration Date | 01/08/2018 |
| Last Update Date | 01/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629585989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 63605 (Texas) | Primary |
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