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Individual

KERRY LEE SHEEHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.S.W

Contact information

Practice address
2824 REAL ST, AUSTIN, TX 78722-1715
(512) 788-5678
Mailing address
2824 REAL ST, AUSTIN, TX 78722-1715
(512) 788-5678

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
41426
TX

Other

Enumeration date
11/21/2011
Last updated
11/21/2011
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