Individual
OLIVIA BRANSCOMB-BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5015 S IH 35 STE 200, AUSTIN, TX 78744-2714
(512) 703-3234
(512) 703-1390
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
64316
TX
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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