Individual
DOMINIQUE M AGYPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2501 W WILLIAM CANNON DR BLDG 4, AUSTIN, TX 78745-5281
(512) 804-3200
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 445-7787
(512) 440-4059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009865
VA
Other
Enumeration date
07/28/2017
Last updated
11/10/2024
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