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Individual

JILLIAN M. RACINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
4505 SPICEWOOD SPRINGS RD STE 335, AUSTIN, TX 78759-8541
(512) 467-1376
(512) 467-8658
Mailing address
4505 SPICEWOOD SPRINGS RD STE 335, AUSTIN, TX 78759-8541
(512) 467-1376
(512) 467-8658

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
Primary
37220
TX

Other

Enumeration date
06/26/2015
Last updated
05/20/2022
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