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Organization
KIRBY SANDLIN
Active
Organization
KIRBY SANDLIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRBY SANDLIN LPC, LMFT (OWNER)
(337) 654-6634
Entity
Organization
Contact information
Practice address
1219 S LAMAR BLVD APT 619, AUSTIN, TX 78704-2183
(337) 654-6634
Mailing address
1219 S LAMAR BLVD APT 619, AUSTIN, TX 78704-2183
(337) 654-6634
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
201550
TX
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
66357
TX
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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