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Kino Park
NPI 1083474530 · on the registry since 2024
Practice
- Address
- 802 Lydia St
Austin, TX 78702 - Phone
- (512) 380-1684
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas