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Individual

NATALIA VERA MIRKOWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
612B W 22ND ST, AUSTIN, TX 78705-5116
(512) 645-2249
Mailing address
1741 SPYGLASS DR APT 300, AUSTIN, TX 78746-7946
(214) 392-1992

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
202971
TX
101YP2500X
Professional Counselor
77749
TX

Other

Enumeration date
05/01/2019
Last updated
05/01/2019
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