Search › Texas › 1041C0700X
Jacqueline Boutros, MSW, LCSW
NPI 1407395767 · on the registry since 2017 · sole proprietor
Practice
- Address
- 4920 N Interstate 35
Austin, TX 78751 - Phone
- (512) 472-4357
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- MA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-07
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