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Organization
REPAIR THERAPY
Active
Organization
REPAIR THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN LEACH (MANAGING MEMEBER)
(512) 430-1822
Entity
Organization
Contact information
Practice address
2499 S CAPITAL OF TEXAS HWY STE B201, AUSTIN, TX 78746-7758
(512) 430-1822
Mailing address
2499 S CAPITAL OF TEXAS HWY STE B201, AUSTIN, TX 78746-7758
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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