Individual
MR. JACK L. GOSWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
3355 BEE CAVE RD, BUILDING 1 SUITE 104, WEST LAKE HILLS, TX 78746-6775
(512) 777-9774
Mailing address
6609 ROTAN DR, AUSTIN, TX 78749-4007
(512) 777-9774
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201403
TX
Other
Enumeration date
11/25/2007
Last updated
09/10/2012
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