Individual
HEATHER BETH GUTENTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
100 W DEAN KEETON ST, AUSTIN, TX 78712-1091
(512) 471-3515
Mailing address
100 W DEAN KEETON ST, AUSTIN, TX 78712-1091
(512) 471-3515
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
78407
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/07/2016
Last updated
06/28/2022
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