Individual
ASHLEY BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3051
(512) 791-3667
Mailing address
221 HOBBY ST, GEORGETOWN, TX 78633-2302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106040
TX
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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