Individual
BRITTANY BACAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
116 DESERT ROSE DR, KYLE, TX 78640-4183
(512) 969-9491
Mailing address
116 DESERT ROSE DR, KYLE, TX 78640-4183
(512) 969-9491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
59908
TX
Other
Enumeration date
11/21/2021
Last updated
11/21/2021
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