Tracy W Deagan LPS-S, LCSW-S

NPI 1215177084 - Counselor - 101YP2500X

NPI Details
NPI 1215177084
Gender Female
Enumeration Date 03/05/2009
Last Updated 03/05/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
907 W MARY ST
AUSTIN TX, 78704-4141, US
Phone (512) 796-3457
Fax
Business Location
907 W MARY ST
AUSTIN TX, 78704-4141, US
Phone (512) 796-3457
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Texas
License Number 12011
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According to our database, Ms. Tracy W Deagan LPS-S, LCSW-S NPI is 1215177084, taxonomy code is 101YP2500X and license number is 12011, license state is located at Texas. Tracy W Deagan LPS-S, LCSW-S physically located at 907 W Mary St, Austin TX, 78704-4141. NPI Number Tracy W Deagan LPS-S, LCSW-S has the Individual type.

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1215177084 NPI number is provided on an as is basis without warranty of any kind. 1215177084 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy W Deagan LPS-S, LCSW-S are for informational purposes only.