Individual
TETYANA GONCHAROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11121 KIRKLAND HILL PATH, AUSTIN, TX 78754-2142
(512) 584-0111
Mailing address
11121 KIRKLAND HILL PATH, AUSTIN, TX 78754-2142
(512) 584-0111
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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