Kelly Burnett, LCSW
Social Worker, Clinical in Austin, TX. Individual provider (NPI-1).
NPI number1649360652
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1649360652
- Entity type
- Individual (NPI-1)
- Name
- Kelly Burnett
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 13, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 36591 | TX | Yes |
Practice location
601 W 18th StAustin, TX 78701-1111
Phone 512-940-5580
Mailing address
1807 E 39th StAustin, TX 78722-1319
Phone 512-940-5580
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