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Individual

ADAM NATHANIEL JIMENEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2021 GUADALUPE ST STE 260, AUSTIN, TX 78705-5654
(646) 941-7645
(929) 596-7897
Mailing address
3621 BUENA VISTA AVE, BALTIMORE, MD 21211-1930
(915) 252-4772

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103342
TX

Other

Enumeration date
07/19/2024
Last updated
07/24/2024
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