Individual provider · NPI-1
Kirsten Marie Ainsworth
Social Worker, Clinical · San Marcos, TX
NPI number1407375108
StatusActive
Last updated in NPPESSep 13, 2017
Details
- NPI
- 1407375108
- Entity type
- Individual (NPI-1)
- Name
- Kirsten Marie Ainsworth
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 13, 2017
- Last updated
- Sep 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 51001 | TX | Yes |
Other names
- Kirsten Marie Hodge (Former Name)
Practice location
1106 N Ih 35San Marcos, TX 78666-7030
Phone 512-353-0194 · Fax 512-667-7840
Mailing address
110 Park LnSan Marcos, TX 78666-2279
Phone 512-393-9979
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