Individual
JESSICA DEIMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, M.PHIL
Contact information
Practice address
612 W 22ND ST # B, AUSTIN, TX 78705-5104
(512) 357-7761
Mailing address
11940 MEADOWFIRE DR, AUSTIN, TX 78758-3322
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
64718
TX
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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