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Individual

MS. BERTHA GENNA KONDRAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
12871 RESEARCH BLVD, STE 201, AUSTIN, TX 78750-3202
(512) 632-0298
(512) 250-2110
Mailing address
12871 RESEARCH BLVD, STE 201, AUSTIN, TX 78750-3202
(512) 632-0298
(512) 250-2110

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04023
TX

Other

Enumeration date
08/08/2006
Last updated
09/01/2020
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