Individual
ELLEN DANNEVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1221 W BEN WHITE BLVD STE 200B, AUSTIN, TX 78704-7002
(512) 524-9249
Mailing address
205 E UNIVERSITY AVE STE 200, GEORGETOWN, TX 78626-6821
(512) 686-0207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61863
TX
Other
Enumeration date
12/18/2018
Last updated
02/24/2021
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